Exam 6: Substance Use and Dependency

The nurse plans postoperative care for a patient who smokes a pack of cigarettes daily.Which goal should the nurse include in the plan of care for this patient?

Which nursing activity can the nurse delegate to unlicensed assistive personnel (UAP)who are working in a family practice clinic?

A young adult patient scheduled for an annual physical examination arrives in the clinic smelling of cigarette smoke and carrying a pack of cigarettes.Which action will the nurse plan to take?

A patient with a history of heavy alcohol use is diagnosed with acute gastritis.Which statement by the patient indicates a willingness to stop alcohol use?

An older adult patient who has been taking alprazolam (Xanax)calls the clinic asking for a refill of the prescription 1 month before the alprazolam should need to be refilled.Which response by the nurse is best?

An alcohol-intoxicated patient with a penetrating wound to the abdomen is undergoing emergency surgery.What will the nurse expect the patient to need during the perioperative period?

A patient who has inhaled cocaine is admitted to the emergency department with palpitations and shortness of breath.What should the nurse do first?

A patient presents to the emergency department with a blood alcohol concentration (BAC)of 0.18%.After reviewing the medication orders,which drug should the nurse administer first?

A patient admitted to the hospital after an automobile accident is alert and does not appear to be highly intoxicated.The blood alcohol concentration (BAC)is 110 mg/dL (0.11 mg%).Which action by the nurse is most appropriate?

After the nurse receives report,which patient should the nurse assess first?

After receiving change-of-shift report on four patients who are undergoing substance abuse treatment,which patient will the nurse assess first?

A young adult patient comes to the emergency department with severe chest pain and agitation.Which action should the nurse take first?

A newly admitted patient complains of waking frequently during the night.The nurse observes the patient wearing a nicotine patch (Nicoderm CQ)on the right upper arm.Which action is best for the nurse to take?

Which information is most important for the nurse to report to the health care provider about a patient who has been using varenicline (Chantix)?

A disoriented and agitated patient comes to the emergency department and admits using methamphetamine.Vital signs are blood pressure 162/98,heart rate 142 and irregular,and respirations 32.Which action by the nurse is most important?

The nurse cares for an agitated patient who was admitted to the emergency department after taking a hallucinogenic drug and attempting to jump from a third-story window.Which nursing diagnosis should the nurse assign as the highest priority?

A patient who is admitted to the hospital for wound debridement admits to using fentanyl (Sublimaze)illegally.What finding does the nurse expect?

A patient with alcohol dependence is admitted to the hospital with back pain following a fall.Twenty-four hours after admission,the patient becomes tremulous and anxious.Which action by the nurse is most appropriate?

A patient is admitted to the emergency department for treatment of a possible opioid overdose.Rank the nursing activities in the correct order from first activity to last activity.(Put a comma and a space between each answer choice [A,B,C,D,E]).

Which assessment finding would alert the nurse to ask the patient about alcohol use?