Question 1

A nurse is concerned that a newly hired colleague is exhibiting signs of a substance abuse problem. What did the nurse observe to come to this conclusion?

Accepted Answer

The nurse may suspect substance abuse due to the use of mints and cologne to mask odors (A), volunteering to give medications which could indicate access to drugs (C), disorganization which can be a sign of impairment (D), and discrepancies in narcotic counts (E).

Question 2

The patient states she has been using an illegal drug for the last nine years. Based on the information included in the chart, which statement is most consistent with the type of illegal drug she has been abusing?

Accepted Answer

The answer of The patient states she has been using...

Question 3

The patient has consumed 660 milligrams of caffeine during the last eight hours. The patient states that he consumes this amount of caffeine on a regular basis. After reviewing the information included in the chart provided, which patient statement is consistent with the information provided?

Accepted Answer

Consuming 660 milligrams of caffeine is a significant amount and can cause difficulty sleeping, which is consistent with the patient statement "I don't know why but I just can't get to sleep." The other statements are not necessarily consistent with caffeine consumption.

Question 4

A patient has overdosed on benzodiazepines and is admitted in a comatose state. What is the best order for treatment? 
A) Clear airway 
B) Prepare to intubate 
C) Prepare for IV fluids 
D) Prepare for gastric lavage 
E) Institute seizure precautions 
F) Prepare for possible dialysis
G) non of the above.

Accepted Answer

The answer of A patient has overdosed on benzodiazepines and...

Question 5

The nurse is caring for a patient with chronic alcoholism. Which vitamins should the nurse expect this patient to be prescribed?

Accepted Answer

The answer of The nurse is caring for a patient...

Question 6

The patient has been brought to the emergency department after being found by his mother at home. The patient's blood alcohol level is currently 0.51%. Which findings are consistent with this information?

Accepted Answer

A blood alcohol level of 0.51% is extremely high and can cause life-threatening symptoms including unresponsiveness to painful stimuli (such as a sternal rub) and significant respiratory depression, which is consistent with a respiratory rate of eight breaths per minute.

Question 7

The nurse is beginning the assessment of a patient with substance abuse. What should the nurse ask that demonstrates an open-ended question?

Accepted Answer

The answer of The nurse is beginning the assessment of...

Question 8

A patient withdrawing from alcohol has an order for diazepam (Valium), 10 mg every 4 hours for 4 doses, then 5 mg every 4 hours for 4 doses. The drug comes in a concentration of 5 mg/mL. The total mL that the patient will receive would be _____.

Accepted Answer

The answer of A patient withdrawing from alcohol has an...

Question 9

The nurse is reviewing the way abusive substances act on brain receptor sites. Place an "X" on the picture that represents an antagonistic effect.

Accepted Answer

The answer of The nurse is reviewing the way abusive...

Question 10

The nurse is preparing material for a staff development presentation on substance abuse. Which information should the nurse include that addresses the family history of substance abuse?

Accepted Answer

The answer of The nurse is preparing material for a...

Question 11

A patient admitted to the hospital after a motor vehicle accident frequently smokes ice and had smoked some as recently as two hours prior to the accident. Which assessment findings are consistent with this information?

Accepted Answer

Smoking ice, which is a form of methamphetamine, can lead to increased heart rate (A), arrhythmias such as premature ventricular contractions (B), significant weight loss due to appetite suppression (C), and chest pain due to its cardiovascular effects (D). Blood pressure is often elevated due to its stimulant properties, making (E) less consistent with recent use.

Question 12

The patient states, "I think I am actually addicted to nicotine." Which assessment findings are consistent with this type of addiction?

Accepted Answer

The answer of The patient states, "I think I am...

Question 13

The nurse suspects that a patient has a substance dependency. What observations did the nurse use to come to this conclusion?

Accepted Answer

The nurse likely observed signs of substance dependency such as the presence of tolerance (A), the substance being taken for a longer period than intended (B), spending more time in private using the substance (C), and a desire to control substance use (D). These are common indicators of substance dependency.

Question 14

The nurse is caring for a patient who uses marijuana. Which observations suggest that the amount of marijuana that the patient is using is dose-related?

Accepted Answer

The answer of The nurse is caring for a patient...

Question 15

The nurse reviews the long-term effects of alcohol use with a patient who has experienced chronic alcoholism for 25 years. Which patient statements indicate that addition teaching is required?

Accepted Answer

- A) The yellow skin (jaundice) in chronic alcoholism is primarily due to liver damage, not thiamine deficiency, although thiamine deficiency is a concern in alcoholism for other reasons (e.g., Wernicke-Korsakoff syndrome).- B) COPD is primarily caused by smoking, not by alcohol consumption. While alcohol can exacerbate health issues, it is not a direct cause of COPD.

Question 16

A loading dose of magnesium sulfate 4g is ordered for a patient. The concentration available is 4g/250 mL to be given over 30 minutes. How many mL/hr should the nurse set the patient's infusion pump to deliver the medication?

Accepted Answer

The answer of A loading dose of magnesium sulfate 4g...

Question 17

The patient has been included in a research study along with 4,205 other patients who live in the United States. Two thousand two hundred of these patients are male. Of the female patients, how many are likely to be smokers?

Accepted Answer

The answer of The patient has been included in a...

Question 18

The patient is exhibiting some addictive behaviors and has admitted to using illegal drugs. Which patient statements are consistent with addictive behaviors?

Accepted Answer

The answer of The patient is exhibiting some addictive behaviors...

Question 19

The patient has been diagnosed with substance dependence. The patient has been using Bennies for the last three years. Which patient statements should the nurse attribute to substance dependence?

Accepted Answer

The answer of The patient has been diagnosed with substance...

Question 20

A patient admitted to an addiction detoxification unit has been prescribed medication to help with withdrawal symptoms. After reviewing the medication with the patient, the nurse realizes that further education is required when the patient makes which statements?

Accepted Answer

- Naltrexone is not an antidepressant; it is used to block the effects of opioids and alcohol.- Antabuse (disulfiram) is used to treat chronic alcoholism and would not be effective for heroin cravings.

Quiz 6: Nursing Care of Patients With Problems of Substance Abuse