Exam 23: Substance-Related and Addictive Disorders

A client with a history of heavy alcohol use is brought to an emergency department (ED)by family members who state that the client has had nothing to drink in the last 24 hours.Which client symptom should the nurse immediately report to the ED physician?

Which is the priority nursing intervention for a client admitted for acute alcohol intoxication?

The nurse believes that a client being admitted for a surgical procedure may have a drinking problem.How should the nurse further evaluate this possibility?

A client is questioning the nurse about a newly prescribed medication,acamprosate calcium (Campral).Which is the most appropriate reply by the nurse?

A nursing instructor is teaching students about cirrhosis of the liver.Which of the following student statements about the complications of hepatic encephalopathy should indicate that further student teaching is needed? Select all that apply.

A client with a history of insomnia has been taking chlordiazepoxide (Librium),15 mg,at night for the past year.The client currently reports that this dose is no longer helping him fall asleep.Which nursing diagnosis appropriately documents this problem?

A nurse holds the hand of a client who is withdrawing from alcohol.What is the nurse's rationale for this intervention?

A nurse evaluates a client's patient-controlled analgesia (PCA)pump and notices 100 attempts within a 30-minute period.Which is the best rationale for assessing this client for substance use disorder?

A client diagnosed with depression and substance use disorder has an altered sleep pattern and demands that a psychiatrist prescribe a sedative.Which rationale explains why a nurse should encourage the client to first try nonpharmacological interventions?

Which client statement indicates a knowledge deficit related to substance use?