Question 1

If an individual drinks alcohol while on disulfiram (Antabuse)therapy,which of the following will most likely occur?&#10;A)Euphoria&#10;B)Vomiting&#10;C)Hypertension&#10;D)Hypoventilation

Accepted Answer

Nausea and copious vomiting occur,and occur quickly,when disulfiram is used with alcohol.

Question 2

A patient has been taking naltrexone (ReVia)as part of the treatment for addiction to heroin.The nurse expects that naltrexone will have which effect for this patient?&#10;A)Naltrexone prevents the cravings for opioid drugs.&#10;B)Naltrexone works as a safer substitute for the heroin until the patient completes withdrawal.&#10;C)The patient will experience hypertension and severe nausea if he takes heroin while on naltrexone.&#10;D)If opioid drugs are used while taking naltrexone,euphoria is not produced;thus,the drug effects are lost.

Accepted Answer

Naltrexone works to eliminate the euphoria that occurs with opioid drug use;therefore,the reinforcing effect of the drug is lost.

Question 3

Which of the following statements is true regarding drugs used in cigarette smoking cessation programs?&#10;A)Slow chewing of the nicotine gum releases an immediate dose of nicotine.&#10;B)Acute relief from withdrawal symptoms is most easily achieved with the use of the transdermal patch.&#10;C)Patient adherence is higher with the transdermal patch than with the nicotine gum.&#10;D)The nicotine gum can be used only up to six times a day.

Accepted Answer

In a cigarette smoking cessation program,patient adherence is higher with the use of the transdermal patch than with the nicotine gum.
Acute relief from nicotine withdrawal symptoms is more easily achieved with the use of the gum than with the patch.Rapid chewing of the gum produces an immediate dose of nicotine.Nicotine gum can be used whenever the patient has a strong urge to smoke.

Question 4

Chronic use of alcohol may result in which of the following?&#10;A)Renal failure&#10;B)Stroke&#10;C)Korsakoff's psychosis&#10;D)Alzheimer's disease

Accepted Answer

Chronic use of alcohol may lead to a variety of serious neurological and mental disorders,such as Korsakoff's psychosis and Wernicke's encephalopathy,in addition to cirrhosis.

Question 5

A patient in a rehabilitation centre is beginning to experience opioid withdrawal symptoms.What would you expect to be ordered for her treatment?&#10;A)diazepam (Valium)&#10;B)methadone&#10;C)disulfiram (Antabuse) protocol&#10;D)Antidepressant therapy

Accepted Answer

Opioid withdrawal can be managed with either methadone or clonidine (Catapres).
Diazepam and disulfiram are used for treatment of alcoholism.Antidepressant therapy is used for smoking-cessation programs.

Question 6

During a party,a guest who is on disulfiram (Antabuse)therapy drinks half a glass of wine.The party guest will quickly experience which symptoms? Select all that apply.&#10;A)Euphoria&#10;B)Vomiting&#10;C)Diarrhea&#10;D)Pallor&#10;E)Flushed skin&#10;F)Sweating&#10;G)Hypoventilation

Accepted Answer

Vomiting,flushed skin,and sweating occur when disulfiram is taken with even small amounts of alcohol.Other symptoms include a throbbing sensation in the head and neck,hyperventilation,confusion,nausea,vertigo,and blurred vision.
Euphoria,diarrhea,pallor,and hypoventilation do not occur in this situation.

Question 7

Which of the following is the main substance of misuse among older adults?&#10;A)Cigarettes&#10;B)Alcohol&#10;C)Over-the-counter medications&#10;D)Prescription medications

Accepted Answer

The proportion of seniors within society is increasing;alcohol remains the main substance of misuse among older adults.
Cigarette smoking and polypharmacy with prescription and OTC medications are also concerns,but alcohol is the main substance of misuse.

Question 8

A patient is being treated for ethanol abuse.What important information should the nurse tell him about disulfiram (Antabuse)therapy?&#10;A)Do not smoke cigarettes while on this drug.&#10;B)Several common over-the-counter (OTC)substances contain alcohol.&#10;C)This drug will cause the same effects as the alcohol did without the euphoric effects.&#10;D)Any type of mouthwash or cough medicine can be used because they contain alcohol only in small amounts.

Accepted Answer

Using disulfiram along with alcohol-containing OTC products will elicit severe adverse reactions.As little as 7 mL of alcohol may cause symptoms in a sensitive person.

Question 9

A 29-year-old male is admitted to the Critical Care Unit with the following symptoms: restlessness,hyperactive reflexes,talkativeness,confusion,dry mouth,and excessive sweating.The nurse suspects that he may be experiencing the effects of taking which of the following?

A)Opiates
B)Alcohol
C)Stimulants
D)Depressants

Accepted Answer

The adverse effects listed in the example may occur with the use of stimulants and are commonly an extension of their therapeutic effects.

Question 10

A 38-year-old male used the &#34;cold turkey&#34; approach to stop smoking.Although he hasn't smoked for 6 months,he tells the nurse that he still feels strong cigarette cravings and wonders whether he will ever get over the cravings.Which of the following statements is true?&#10;A)The cravings will never stop.&#10;B)The cravings may persist for months to years.&#10;C)The cravings indicate that he has been using nicotine.&#10;D)The cravings indicate that he is about to experience nicotine withdrawal.

Accepted Answer

Cigarette craving may persist for months after nicotine withdrawal.
"The cravings will never stop ," "The cravings indicate that he has been using nicotine," and "The cravings indicate that he is about to experience nicotine withdrawal" are false statements.

Question 11

During a substance abuse lecture for teenage girls,the nurse is asked about &#34;roofies.&#34; This slang term refers to what substance?&#10;A)Cocaine&#10;B)flunitrazepam (Rohypnol)&#10;C)hydromorphone&#10;D)Methamphetamine

Accepted Answer

The answer of During a substance abuse lecture for teenage...

Deck 9: Problematic Substance Use