Question 1

A client who is attending a Narcotics Anonymous (NA)program asks the nurse what the most important initial goal of attending the meetings is. How should the nurse respond?

Accepted Answer

A)The key initial outcome for clients in NA and similar 12-step substance abuse programs is to admit they have a problem with drugs or alcohol. Clients will be unable to participate fully in a recovery program until they can admit that they have a substance abuse problem, admit the extent of that problem, and acknowledge how abuse has impacted their lives. Learning problem-solving skills is a later outcome for a substance abuse program. Taking a moral inventory and making amends are the fourth and eighth steps of Narcotics Anonymous and would not be initial outcomes.
B)The key initial outcome for clients in NA and similar 12-step substance abuse programs is to admit they have a problem with drugs or alcohol. Clients will be unable to participate fully in a recovery program until they can admit that they have a substance abuse problem, admit the extent of that problem, and acknowledge how abuse has impacted their lives. Learning problem-solving skills is a later outcome for a substance abuse program. Taking a moral inventory and making amends are the fourth and eighth steps of Narcotics Anonymous and would not be initial outcomes.
C)The key initial outcome for clients in NA and similar 12-step substance abuse programs is to admit they have a problem with drugs or alcohol. Clients will be unable to participate fully in a recovery program until they can admit that they have a substance abuse problem, admit the extent of that problem, and acknowledge how abuse has impacted their lives. Learning problem-solving skills is a later outcome for a substance abuse program. Taking a moral inventory and making amends are the fourth and eighth steps of Narcotics Anonymous and would not be initial outcomes.
D)The key initial outcome for clients in NA and similar 12-step substance abuse programs is to admit they have a problem with drugs or alcohol. Clients will be unable to participate fully in a recovery program until they can admit that they have a substance abuse problem, admit the extent of that problem, and acknowledge how abuse has impacted their lives. Learning problem-solving skills is a later outcome for a substance abuse program. Taking a moral inventory and making amends are the fourth and eighth steps of Narcotics Anonymous and would not be initial outcomes.

Question 2

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?

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.

Question 3

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

Accepted Answer

A)Antipsychotic medications are used in the treatment of clients who have overdosed on crack or cocaine. These medications help manage the hyperpyrexia, respiratory distress, cardiovascular shock, acidic urine, and convulsions associated with the overdose. CNS depression and decreased deep tendon reflexes do not occur in acute cocaine overdose.
B)Antipsychotic medications are used in the treatment of clients who have overdosed on crack or cocaine. These medications help manage the hyperpyrexia, respiratory distress, cardiovascular shock, acidic urine, and convulsions associated with the overdose. CNS depression and decreased deep tendon reflexes do not occur in acute cocaine overdose.
C)Antipsychotic medications are used in the treatment of clients who have overdosed on crack or cocaine. These medications help manage the hyperpyrexia, respiratory distress, cardiovascular shock, acidic urine, and convulsions associated with the overdose. CNS depression and decreased deep tendon reflexes do not occur in acute cocaine overdose.
D)Antipsychotic medications are used in the treatment of clients who have overdosed on crack or cocaine. These medications help manage the hyperpyrexia, respiratory distress, cardiovascular shock, acidic urine, and convulsions associated with the overdose. CNS depression and decreased deep tendon reflexes do not occur in acute cocaine overdose.
E)Antipsychotic medications are used in the treatment of clients who have overdosed on crack or cocaine. These medications help manage the hyperpyrexia, respiratory distress, cardiovascular shock, acidic urine, and convulsions associated with the overdose. CNS depression and decreased deep tendon reflexes do not occur in acute cocaine overdose.

Question 4

The nurse is providing care to a client with alcohol and opioid dependency. The client's mother states, "I don't understand why my daughter has been prescribed naltrexone, because it causes a high, too, right?" Which response by the nurse is appropriate?

Accepted Answer

A)Naltrexone helps reduce cravings for alcohol and opioids by blocking the pathways to the brain that trigger a feeling of pleasure when these substances are used. Disulfiram, not naltrexone, will cause a person to become violently ill when alcohol is consumed. Naltrexone is not used as an alternative to street drugs, nor does it prevent alcohol intoxication.
B)Naltrexone helps reduce cravings for alcohol and opioids by blocking the pathways to the brain that trigger a feeling of pleasure when these substances are used. Disulfiram, not naltrexone, will cause a person to become violently ill when alcohol is consumed. Naltrexone is not used as an alternative to street drugs, nor does it prevent alcohol intoxication.
C)Naltrexone helps reduce cravings for alcohol and opioids by blocking the pathways to the brain that trigger a feeling of pleasure when these substances are used. Disulfiram, not naltrexone, will cause a person to become violently ill when alcohol is consumed. Naltrexone is not used as an alternative to street drugs, nor does it prevent alcohol intoxication.
D)Naltrexone helps reduce cravings for alcohol and opioids by blocking the pathways to the brain that trigger a feeling of pleasure when these substances are used. Disulfiram, not naltrexone, will cause a person to become violently ill when alcohol is consumed. Naltrexone is not used as an alternative to street drugs, nor does it prevent alcohol intoxication.

Question 5

Clients who have high scores on the OOWS and SOWS

Accepted Answer

A)The Objective Opiate Withdrawal Scale (OOWS)has the nurse rate 13 common, physically observable signs of opiate withdrawal as being either absent or present. The Subjective Opiate Withdrawal Scale (SOWS)asks the client to rate 16 symptoms on a scale of 0 (not at all)to 4 (extremely). In either case, the summed total score can be used to assess the intensity of opiate withdrawal and determine the extent of a client's physical dependence on opioids. Higher scores mean a more intense withdrawal and more physical dependence.
B)The Objective Opiate Withdrawal Scale (OOWS)has the nurse rate 13 common, physically observable signs of opiate withdrawal as being either absent or present. The Subjective Opiate Withdrawal Scale (SOWS)asks the client to rate 16 symptoms on a scale of 0 (not at all)to 4 (extremely). In either case, the summed total score can be used to assess the intensity of opiate withdrawal and determine the extent of a client's physical dependence on opioids. Higher scores mean a more intense withdrawal and more physical dependence.
C)The Objective Opiate Withdrawal Scale (OOWS)has the nurse rate 13 common, physically observable signs of opiate withdrawal as being either absent or present. The Subjective Opiate Withdrawal Scale (SOWS)asks the client to rate 16 symptoms on a scale of 0 (not at all)to 4 (extremely). In either case, the summed total score can be used to assess the intensity of opiate withdrawal and determine the extent of a client's physical dependence on opioids. Higher scores mean a more intense withdrawal and more physical dependence.
D)The Objective Opiate Withdrawal Scale (OOWS)has the nurse rate 13 common, physically observable signs of opiate withdrawal as being either absent or present. The Subjective Opiate Withdrawal Scale (SOWS)asks the client to rate 16 symptoms on a scale of 0 (not at all)to 4 (extremely). In either case, the summed total score can be used to assess the intensity of opiate withdrawal and determine the extent of a client's physical dependence on opioids. Higher scores mean a more intense withdrawal and more physical dependence.

Question 6

A client is admitted to the emergency department after overdosing on phencyclidine (PCP). Based on this information, which nursing actions are appropriate? Select all that apply.

Accepted Answer

A)PCP overdose is associated with possible hypertensive crisis, respiratory arrest, hyperthermia, and seizures. The client will require an IV line and seizure precautions, such as padded side rails. The client may also be given ammonium chloride to acidify the urine to help excrete the drug. Vomiting is induced for overdoses of alcohol, barbiturates, and benzodiazepines. Lavage would be an inappropriate treatment for inhalation of any substance, and PCP is usually inhaled in some form.
B)PCP overdose is associated with possible hypertensive crisis, respiratory arrest, hyperthermia, and seizures. The client will require an IV line and seizure precautions, such as padded side rails. The client may also be given ammonium chloride to acidify the urine to help excrete the drug. Vomiting is induced for overdoses of alcohol, barbiturates, and benzodiazepines. Lavage would be an inappropriate treatment for inhalation of any substance, and PCP is usually inhaled in some form.
C)PCP overdose is associated with possible hypertensive crisis, respiratory arrest, hyperthermia, and seizures. The client will require an IV line and seizure precautions, such as padded side rails. The client may also be given ammonium chloride to acidify the urine to help excrete the drug. Vomiting is induced for overdoses of alcohol, barbiturates, and benzodiazepines. Lavage would be an inappropriate treatment for inhalation of any substance, and PCP is usually inhaled in some form.
D)PCP overdose is associated with possible hypertensive crisis, respiratory arrest, hyperthermia, and seizures. The client will require an IV line and seizure precautions, such as padded side rails. The client may also be given ammonium chloride to acidify the urine to help excrete the drug. Vomiting is induced for overdoses of alcohol, barbiturates, and benzodiazepines. Lavage would be an inappropriate treatment for inhalation of any substance, and PCP is usually inhaled in some form.
E)PCP overdose is associated with possible hypertensive crisis, respiratory arrest, hyperthermia, and seizures. The client will require an IV line and seizure precautions, such as padded side rails. The client may also be given ammonium chloride to acidify the urine to help excrete the drug. Vomiting is induced for overdoses of alcohol, barbiturates, and benzodiazepines. Lavage would be an inappropriate treatment for inhalation of any substance, and PCP is usually inhaled in some form.

Question 7

Which of the following characteristics would increase a client's risk of unpleasant side effects from nicotine replacement therapy (NRT)?

Accepted Answer

A)A potential issue with NRT is that some transdermal patches and gums are designed for heavy smokers and may contain too large of a dose of nicotine. If clients have low body weight or did not smoke heavily prior to starting NRT, they may experience unpleasant side effects from ingesting too much nicotine. Male gender and a history of failed attempts at smoking cessation do not increase the risk of side effects.
B)A potential issue with NRT is that some transdermal patches and gums are designed for heavy smokers and may contain too large of a dose of nicotine. If clients have low body weight or did not smoke heavily prior to starting NRT, they may experience unpleasant side effects from ingesting too much nicotine. Male gender and a history of failed attempts at smoking cessation do not increase the risk of side effects.
C)A potential issue with NRT is that some transdermal patches and gums are designed for heavy smokers and may contain too large of a dose of nicotine. If clients have low body weight or did not smoke heavily prior to starting NRT, they may experience unpleasant side effects from ingesting too much nicotine. Male gender and a history of failed attempts at smoking cessation do not increase the risk of side effects.
D)A potential issue with NRT is that some transdermal patches and gums are designed for heavy smokers and may contain too large of a dose of nicotine. If clients have low body weight or did not smoke heavily prior to starting NRT, they may experience unpleasant side effects from ingesting too much nicotine. Male gender and a history of failed attempts at smoking cessation do not increase the risk of side effects.

Question 8

The nurse is completing a health history for an adolescent client and determines that the client would benefit from teaching about substance abuse. Which client statements caused the nurse to come to this conclusion? Select all that apply.

Accepted Answer

A)Early sexual activity, smoking cigarettes, and drinking alcohol are all risk factors for teenage substance abuse. Getting good grades and wearing a seat belt are not risk factors for substance abuse.
B)Early sexual activity, smoking cigarettes, and drinking alcohol are all risk factors for teenage substance abuse. Getting good grades and wearing a seat belt are not risk factors for substance abuse.
C)Early sexual activity, smoking cigarettes, and drinking alcohol are all risk factors for teenage substance abuse. Getting good grades and wearing a seat belt are not risk factors for substance abuse.
D)Early sexual activity, smoking cigarettes, and drinking alcohol are all risk factors for teenage substance abuse. Getting good grades and wearing a seat belt are not risk factors for substance abuse.
E)Early sexual activity, smoking cigarettes, and drinking alcohol are all risk factors for teenage substance abuse. Getting good grades and wearing a seat belt are not risk factors for substance abuse.

Question 9

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

Accepted Answer

A)Maternal use of methadone during pregnancy puts a woman at risk for abruptio placentae. Methadone use is also associated with fetal distress, meconium aspiration, preterm labor, rapid labor, and severe withdrawal in the newborn. Marijuana use is associated with an increased risk of intrauterine growth restriction (IUGR), but not with an increased rate of placental abruption. Low folic acid levels would contribute to neural tube problems. Genetic history does not affect the risk for abruption.
B)Maternal use of methadone during pregnancy puts a woman at risk for abruptio placentae. Methadone use is also associated with fetal distress, meconium aspiration, preterm labor, rapid labor, and severe withdrawal in the newborn. Marijuana use is associated with an increased risk of intrauterine growth restriction (IUGR), but not with an increased rate of placental abruption. Low folic acid levels would contribute to neural tube problems. Genetic history does not affect the risk for abruption.
C)Maternal use of methadone during pregnancy puts a woman at risk for abruptio placentae. Methadone use is also associated with fetal distress, meconium aspiration, preterm labor, rapid labor, and severe withdrawal in the newborn. Marijuana use is associated with an increased risk of intrauterine growth restriction (IUGR), but not with an increased rate of placental abruption. Low folic acid levels would contribute to neural tube problems. Genetic history does not affect the risk for abruption.
D)Maternal use of methadone during pregnancy puts a woman at risk for abruptio placentae. Methadone use is also associated with fetal distress, meconium aspiration, preterm labor, rapid labor, and severe withdrawal in the newborn. Marijuana use is associated with an increased risk of intrauterine growth restriction (IUGR), but not with an increased rate of placental abruption. Low folic acid levels would contribute to neural tube problems. Genetic history does not affect the risk for abruption.

Question 10

Which of the following is not an effect of chronic long-term marijuana use?

Accepted Answer

A)Chronic long-term marijuana use can lead to airway constriction and inflammation and increased incidence of acute and chronic bronchitis. Cannabis use also causes decreased spermatogenesis and testosterone levels in males and suppresses follicle-stimulating, luteinizing, and prolactin hormones in females.
B)Chronic long-term marijuana use can lead to airway constriction and inflammation and increased incidence of acute and chronic bronchitis. Cannabis use also causes decreased spermatogenesis and testosterone levels in males and suppresses follicle-stimulating, luteinizing, and prolactin hormones in females.
C)Chronic long-term marijuana use can lead to airway constriction and inflammation and increased incidence of acute and chronic bronchitis. Cannabis use also causes decreased spermatogenesis and testosterone levels in males and suppresses follicle-stimulating, luteinizing, and prolactin hormones in females.
D)Chronic long-term marijuana use can lead to airway constriction and inflammation and increased incidence of acute and chronic bronchitis. Cannabis use also causes decreased spermatogenesis and testosterone levels in males and suppresses follicle-stimulating, luteinizing, and prolactin hormones in females.

Question 11

The nurse is providing care to a 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.

Accepted Answer

A)Acute cocaine intoxication manifests as muscle jerking, hypertension, decreased appetite, dilated pupils, and tachycardia.
B)Acute cocaine intoxication manifests as muscle jerking, hypertension, decreased appetite, dilated pupils, and tachycardia.
C)Acute cocaine intoxication manifests as muscle jerking, hypertension, decreased appetite, dilated pupils, and tachycardia.
D)Acute cocaine intoxication manifests as muscle jerking, hypertension, decreased appetite, dilated pupils, and tachycardia.
E)Acute cocaine intoxication manifests as muscle jerking, hypertension, decreased appetite, dilated pupils, and tachycardia.

Question 12

The nurse is caring for a client who is diagnosed with a cocaine addiction. For which additional disorder should the nurse assess this client?

Accepted Answer

A)Substance use or abuse commonly co-occurs with other mental health disorders, such as anxiety and depression. In fact, approximately 20% of Americans with an anxiety or mood disorder such as depression also have an alcohol or other substance use disorder. Weight gain, diabetes, and kidney stones are not linked to substance abuse.
B)Substance use or abuse commonly co-occurs with other mental health disorders, such as anxiety and depression. In fact, approximately 20% of Americans with an anxiety or mood disorder such as depression also have an alcohol or other substance use disorder. Weight gain, diabetes, and kidney stones are not linked to substance abuse.
C)Substance use or abuse commonly co-occurs with other mental health disorders, such as anxiety and depression. In fact, approximately 20% of Americans with an anxiety or mood disorder such as depression also have an alcohol or other substance use disorder. Weight gain, diabetes, and kidney stones are not linked to substance abuse.
D)Substance use or abuse commonly co-occurs with other mental health disorders, such as anxiety and depression. In fact, approximately 20% of Americans with an anxiety or mood disorder such as depression also have an alcohol or other substance use disorder. Weight gain, diabetes, and kidney stones are not linked to substance abuse.

Question 13

A young adult client is at 28 weeks' gestation. The client's prenatal history reveals past drug abuse, and her urine screening indicates that she has recently used heroin. Which potential health problem should the nurse recognize as the greatest risk to the fetus?

Accepted Answer

A)Women who use heroin place their fetus at increased risk for intrauterine growth restriction (IUGR), as well as withdrawal symptoms, convulsions, tremors, irritability, sneezing, vomiting, fever, diarrhea, and abnormal respiratory function. Congenital anomalies are more commonly associated with use of other drugs, including lithium and dextroamphetamine sulfate. Diabetes is an endocrine disorder that is unrelated to drug use and abuse. Abruptio placentae is more commonly seen with use of alcohol, tobacco, and methadone than with use of heroin.
B)Women who use heroin place their fetus at increased risk for intrauterine growth restriction (IUGR), as well as withdrawal symptoms, convulsions, tremors, irritability, sneezing, vomiting, fever, diarrhea, and abnormal respiratory function. Congenital anomalies are more commonly associated with use of other drugs, including lithium and dextroamphetamine sulfate. Diabetes is an endocrine disorder that is unrelated to drug use and abuse. Abruptio placentae is more commonly seen with use of alcohol, tobacco, and methadone than with use of heroin.
C)Women who use heroin place their fetus at increased risk for intrauterine growth restriction (IUGR), as well as withdrawal symptoms, convulsions, tremors, irritability, sneezing, vomiting, fever, diarrhea, and abnormal respiratory function. Congenital anomalies are more commonly associated with use of other drugs, including lithium and dextroamphetamine sulfate. Diabetes is an endocrine disorder that is unrelated to drug use and abuse. Abruptio placentae is more commonly seen with use of alcohol, tobacco, and methadone than with use of heroin.
D)Women who use heroin place their fetus at increased risk for intrauterine growth restriction (IUGR), as well as withdrawal symptoms, convulsions, tremors, irritability, sneezing, vomiting, fever, diarrhea, and abnormal respiratory function. Congenital anomalies are more commonly associated with use of other drugs, including lithium and dextroamphetamine sulfate. Diabetes is an endocrine disorder that is unrelated to drug use and abuse. Abruptio placentae is more commonly seen with use of alcohol, tobacco, and methadone than with use of heroin.

Question 14

After assessing a new client who admits to opioid addiction, a nursing student expresses the belief that drug addiction is not a real illness because "people who use drugs do it to themselves." Which response by the staff nurse is appropriate?

Accepted Answer

A)Nurses must maintain a nonjudgmental attitude with their clients in order to promote trust and respect. Even if a client is not currently making much effort toward managing an addiction, the development of a trusting relationship with the nurse helps set the stage for movement toward recovery in the future. Although it is true that nurses are legally obligated to provide care, this response is not client-focused and is therefore inappropriate.
B)Nurses must maintain a nonjudgmental attitude with their clients in order to promote trust and respect. Even if a client is not currently making much effort toward managing an addiction, the development of a trusting relationship with the nurse helps set the stage for movement toward recovery in the future. Although it is true that nurses are legally obligated to provide care, this response is not client-focused and is therefore inappropriate.
C)Nurses must maintain a nonjudgmental attitude with their clients in order to promote trust and respect. Even if a client is not currently making much effort toward managing an addiction, the development of a trusting relationship with the nurse helps set the stage for movement toward recovery in the future. Although it is true that nurses are legally obligated to provide care, this response is not client-focused and is therefore inappropriate.
D)Nurses must maintain a nonjudgmental attitude with their clients in order to promote trust and respect. Even if a client is not currently making much effort toward managing an addiction, the development of a trusting relationship with the nurse helps set the stage for movement toward recovery in the future. Although it is true that nurses are legally obligated to provide care, this response is not client-focused and is therefore inappropriate.

Question 15

Which of the following statements is true with regard to vaping?

Accepted Answer

A)It remains to be proven whether e-cigarettes are actually safe or simply less harmful than tobacco. In many parts of the United States, vaping is unregulated. The popularity of e-cigarettes is exploding among teenagers and young adults; in 2014, e-cigarette use surpassed current use of every other tobacco product overall. Flavored e-cigarettes frequently contain diacetyl, a chemical that causes the debilitating respiratory disease bronchiolitis obliterans, also known as "popcorn lung."
B)It remains to be proven whether e-cigarettes are actually safe or simply less harmful than tobacco. In many parts of the United States, vaping is unregulated. The popularity of e-cigarettes is exploding among teenagers and young adults; in 2014, e-cigarette use surpassed current use of every other tobacco product overall. Flavored e-cigarettes frequently contain diacetyl, a chemical that causes the debilitating respiratory disease bronchiolitis obliterans, also known as "popcorn lung."
C)It remains to be proven whether e-cigarettes are actually safe or simply less harmful than tobacco. In many parts of the United States, vaping is unregulated. The popularity of e-cigarettes is exploding among teenagers and young adults; in 2014, e-cigarette use surpassed current use of every other tobacco product overall. Flavored e-cigarettes frequently contain diacetyl, a chemical that causes the debilitating respiratory disease bronchiolitis obliterans, also known as "popcorn lung."
D)It remains to be proven whether e-cigarettes are actually safe or simply less harmful than tobacco. In many parts of the United States, vaping is unregulated. The popularity of e-cigarettes is exploding among teenagers and young adults; in 2014, e-cigarette use surpassed current use of every other tobacco product overall. Flavored e-cigarettes frequently contain diacetyl, a chemical that causes the debilitating respiratory disease bronchiolitis obliterans, also known as "popcorn lung."

Question 16

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 and multiple cerebral infarcts and is inconsolable with a high-pitched cry. Which illicit drug is likely to blame for the newborn's symptoms?

Accepted Answer

A)The newborn is likely showing symptoms of cocaine withdrawal. Although the other substances listed here have all been linked to fetal manifestations, they do not match the specific clinical manifestations this newborn is displaying.
B)The newborn is likely showing symptoms of cocaine withdrawal. Although the other substances listed here have all been linked to fetal manifestations, they do not match the specific clinical manifestations this newborn is displaying.
C)The newborn is likely showing symptoms of cocaine withdrawal. Although the other substances listed here have all been linked to fetal manifestations, they do not match the specific clinical manifestations this newborn is displaying.
D)The newborn is likely showing symptoms of cocaine withdrawal. Although the other substances listed here have all been linked to fetal manifestations, they do not match the specific clinical manifestations this newborn is displaying.

Question 17

A college student is incoherent; her roommates tell the nurse that she recently "took downers with beer." For which health problem should the nurse observe in this client?

Accepted Answer

A)"Downers" is a common name for central nervous system (CNS)depressants. CNS depressants and alcohol are a lethal combination, because clients who ingest both types of substances are at risk for varying degrees of sedation, up to coma and death. Seizure activity, signs of withdrawal, and signs of hallucinations do not pose as great a risk for this client as respiratory depression.
B)"Downers" is a common name for central nervous system (CNS)depressants. CNS depressants and alcohol are a lethal combination, because clients who ingest both types of substances are at risk for varying degrees of sedation, up to coma and death. Seizure activity, signs of withdrawal, and signs of hallucinations do not pose as great a risk for this client as respiratory depression.
C)"Downers" is a common name for central nervous system (CNS)depressants. CNS depressants and alcohol are a lethal combination, because clients who ingest both types of substances are at risk for varying degrees of sedation, up to coma and death. Seizure activity, signs of withdrawal, and signs of hallucinations do not pose as great a risk for this client as respiratory depression.
D)"Downers" is a common name for central nervous system (CNS)depressants. CNS depressants and alcohol are a lethal combination, because clients who ingest both types of substances are at risk for varying degrees of sedation, up to coma and death. Seizure activity, signs of withdrawal, and signs of hallucinations do not pose as great a risk for this client as respiratory depression.

Question 18

Why is smoking particularly dangerous for clients with atherosclerosis?

Accepted Answer

A)Smoking does not directly affect cholesterol levels. However, it does lead to vasoconstriction and an increase in blood pressure, which further impairs tissue oxygenation in clients with atherosclerosis.
B)Smoking does not directly affect cholesterol levels. However, it does lead to vasoconstriction and an increase in blood pressure, which further impairs tissue oxygenation in clients with atherosclerosis.
C)Smoking does not directly affect cholesterol levels. However, it does lead to vasoconstriction and an increase in blood pressure, which further impairs tissue oxygenation in clients with atherosclerosis.
D)Smoking does not directly affect cholesterol levels. However, it does lead to vasoconstriction and an increase in blood pressure, which further impairs tissue oxygenation in clients with atherosclerosis.

Quiz 22: Addiction

A client who is attending a Narcotics Anonymous (NA) program asks the nurse what the most important initial goal of attending the meetings is. How should the nurse respond?