Exam 10: Substance Use Disorders

Which information is most important for the nurse to report to the health care provider about a patient who has been using varenicline (Chantix)?

The nurse cares for an agitated patient who was admitted to the emergency department after taking a hallucinogenic drug and attempting to jump from a third-story window. Which nursing diagnosis should the nurse assign as the highest priority?

A 25-yr-old patient comes to the emergency department with severe chest pain and agitation. Which action should the nurse take first?

A patient presents to the emergency department with a blood alcohol concentration (BAC)of 0.18%. After reviewing the medication orders,which drug should the nurse administer first?

The nurse plans postoperative care for a patient who smokes two packs of cigarettes daily. Which goal should the nurse include in the plan of care for this patient?

After the nurse receives report,which patient should the nurse assess first?

An older adult patient who has been taking alprazolam (Xanax)calls the clinic asking for a refill of the prescription 1 month before the alprazolam should need to be refilled. Which response by the nurse is best?

A patient with a history of heavy alcohol use is diagnosed with acute gastritis. Which statement by the patient indicates a willingness to stop alcohol use?

An alcohol-intoxicated patient with a penetrating wound to the abdomen is undergoing emergency surgery. What will the nurse expect the patient to need during the perioperative period?

A 73-yr-old patient is admitted for pancreatitis. Which tool would be the most appropriate for the nurse to use during the admission assessment?

A patient who has inhaled cocaine is admitted to the emergency department with palpitations and shortness of breath. What should the nurse do first?

A patient with alcohol dependence is admitted to the hospital with back pain following a fall. Twenty-four hours after admission,the patient becomes tremulous and anxious. Which action by the nurse is appropriate?

During physical assessment of a patient who has frequent nosebleeds,the nurse finds nasal sores and necrosis of the nasal septum. The nurse should ask the patient specifically about the use of which drug?

A patient is admitted to the emergency department for treatment of a possible opioid overdose. Rank the nursing activities in the correct order from first activity to last activity. (Put a comma and a space between each answer choice [A,B,C,D,E]). A)Initiate IV access. B)Take a health history. C)Administer naloxone D)Obtain a toxicology screen E)Provide respiratory support with a bag-valve mask.

Which assessment finding would alert the nurse to ask the patient about alcohol use?

A patient admitted to the hospital after an automobile accident is alert and does not appear to be highly intoxicated. The blood alcohol concentration (BAC)is 110 mg/dL (0.11 mg%). Which action by the nurse is appropriate?

A young adult patient scheduled for an annual physical examination arrives in the clinic smelling of cigarette smoke and carrying a pack of cigarettes. Which action will the nurse plan to take?

A newly admitted patient complains of waking frequently during the night. The nurse observes the patient wearing a nicotine patch on the right upper arm. Which action should the nurse take first?

After receiving change-of-shift report on four patients who are undergoing substance use treatment,which patient will the nurse assess first?

A patient who smokes a pack of cigarettes daily develops tachycardia and irritability on the second day after abdominal surgery. What is the nurse's best action at this time?