A client is admitted for the fourth time in 4 years for opioid detoxification. When planning care for this client, the nurse should consider which pathophysiologic aspect of substance abuse because of its impact on care?
A)Aging can impact the body's ability to handle detoxification from alcohol and drugs.
B)The client's withdrawal may be greater this time than during past detoxifications.
C)The client's dependency might have been greater this time than during past periods of abuse.
D)Increased difficulty with opioid detoxification is likely the result of an addiction to another substance at the same time.

Question

Quizplus · Accepted Answer

A)Subsequent episodes of withdrawal tend to get progressively worse due to kindling. Kindling refers to long-term changes in brain neurotransmission that occur after repeated detoxifications. Aging does not play a role in the detoxification process. There is no evidence to support the suspicion that the client is addicted to additional substances or has an increased degree of dependence.
B)Subsequent episodes of withdrawal tend to get progressively worse due to kindling. Kindling refers to long-term changes in brain neurotransmission that occur after repeated detoxifications. Aging does not play a role in the detoxification process. There is no evidence to support the suspicion that the client is addicted to additional substances or has an increased degree of dependence.
C)Subsequent episodes of withdrawal tend to get progressively worse due to kindling. Kindling refers to long-term changes in brain neurotransmission that occur after repeated detoxifications. Aging does not play a role in the detoxification process. There is no evidence to support the suspicion that the client is addicted to additional substances or has an increased degree of dependence.
D)Subsequent episodes of withdrawal tend to get progressively worse due to kindling. Kindling refers to long-term changes in brain neurotransmission that occur after repeated detoxifications. Aging does not play a role in the detoxification process. There is no evidence to support the suspicion that the client is addicted to additional substances or has an increased degree of dependence.

A Client Is Admitted for the Fourth Time in 4