Exam 22: Addiction

The nurse is providing care for a client of Asian descent who admits to an alcohol addiction.The client admits to being able to hide the addiction from family and friends.Based on this data,which independent nursing intervention is appropriate for this client?

An older adult client with heart disease tells the nurse,"I am sick because I sinned by smoking cigarettes." Which response by the nurse is appropriate?

The nurse is doing preconception counseling with an adult client with no prior pregnancies.Which client statement indicates that teaching has been effective?

The nurse is providing care to a client who has a history of chronic obstructive pulmonary disease (COPD)who wants help and information regarding nicotine addiction and ways to quit smoking.After providing education to this client regarding smoking cessation,which statement indicates appropriate understanding of the information presented?

A nurse is caring for a client who displays addiction behavior toward the use of alcohol.The client states to the nurse,"I have been in jail twice for driving under the influence." When planning care for this client,which behavioral therapy is most appropriate?

A client is admitted for the fourth time in 4 years for alcohol detoxification.When planning care for this client,the nurse will include which pathophysiology aspect of alcoholism due to its impact on client care?

A client is admitted to the emergency department with signs of drug use.The client reports having ingested Percocet and is experiencing respiratory depression.Based on this data,which prescription does the nurse anticipate for this client?

A young adult pregnant client tells the nurse that she and her husband are going to a 50th wedding anniversary party for her grandparents this weekend.The client asks the nurse if it will be okay to have a few glasses of wine at the party.Which response by the nurse is appropriate?

The nurse is caring for a pregnant woman who admits to using Ecstasy on a regular basis.The client states,"Everybody knows that alcohol is bad during pregnancy,but what's the big deal about Ecstasy?" Which response by the nurse is appropriate?

A pregnant client experiences abruptio placentae.The father of the baby asks the nurse why this has happened to them.Which risk factor in the client's history is the likely cause for this condition?

A nurse working in the emergency department is caring for a client who has overdosed on cocaine.The nurse receives a prescription to administer an antipsychotic medication from the healthcare provider.Which symptom would this medication help to manage? Select all that apply.

A nurse is caring for a client who smokes cigarettes and asks the nurse about nicotine replacement therapy (NRT).Which statement regarding this product is appropriate for the nurse to include in the teaching session?

The nurse is providing care to a client diagnosed with alcoholism.The client's physical examination reveals a BMI of 18.Which prescription does the nurse anticipate to manage the client's nutritional status?

The nurse is providing care to a pregnant client during a prenatal visit.The nurse suspects that the client has used cocaine.Which clinical manifestations support the nurse's suspicion? Select all that apply.

A nurse is caring for a client with congestive heart failure (CHF)who currently smokes cigarettes and has a 50 pack-year smoking history.When providing smoking cessation education to the client,which statements regarding the pathophysiology of nicotine use are appropriate? Select all that apply.

A nurse works at a clinic which provides care to a community which has a high population of smokers.The nurse is planning an educational session on "Tips to Quit." Which action by the nurse is appropriate?

The nurse is evaluating outcome goals written by a student for a client diagnosed with alcoholism who is being discharged from a detoxification program.Which outcomes are appropriate for this client? Select all that apply.

The nurse is collecting data on prenatal clients at a clinic on a Native American reservation in Arizona.One client has risk factors for substance abuse.What physical sign or signs did the nurse assess that suggest substance abuse in this client? Select all that apply.

The nurse is conducting a class in the community regarding alcohol use to a group of college seniors.During the class a participant admits to frequently using alcohol.Which is the priority action of the nurse?

A nurse is caring for a newborn who is being treated in the newborn intensive care unit (NICU)due to complications from exposure to illicit drugs in utero.The newborn has microcephaly,multiple cerebral infarcts and is inconsolable with a high-pitched cry.Which illicit drug is likely to blame for the newborn's symptoms?