Exam 12: Addictive Behaviors

During assessment of a patient's use of abused substances, the nurse recognizes that individuals with substance dependence

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

A 19-year-old patient comes to the emergency room with severe chest pain and agitation. Which action should the nurse take first?

A patient hospitalized for elective surgery stopped smoking 2 days before admission as advised by the nurse. When planning postoperative care, the nurse should include measures to

A patient who is admitted to the hospital for treatment of large abscesses of both anterior thighs admits to using fentanyl (Sublimaze) illegally. The nurse will monitor the patient for manifestations of withdrawal such as

Based on the incidence of smoking, the community health nurse should focus interventions on which of the following groups when developing a plan to prevent tobacco use?

A patient admitted to the medical-surgical unit after a head injury caused by a fall has a blood alcohol concentration (BAC) of 220 mg/dl (0.22 mg%). The patient is alert and does not appear highly intoxicated. An appropriate nursing action is to

A patient who currently uses heroin has elective surgery. To promote effective pain control postoperatively, the nurse will

During physical assessment of a patient with chronic alcohol abuse, the nurse identifies a pathophysiologic change related to alcohol on finding

A patient who is alcohol-intoxicated must undergo emergency surgery for abdominal trauma. The nurse recognizes that during the perioperative period the patient

A nurse who is assigned to care for a patient who has been admitted with an opiate overdose tells the nursing supervisor, "This is a waste of my time. The patient will be back on the needle right after being discharged." The most appropriate response by the nursing supervisor is

An agitated individual is brought to the emergency department by friends who state that the patient took a hallucinogenic drug at a party and then tried to jump from a second-story window. The priority nursing diagnosis for the patient is

A patient admitted with chest pain who is a pack-a-day smoker tells the nurse, "I am just not ready to quit smoking yet." The most appropriate response by the nurse is

A 20-year-old patient who has inhaled cocaine is admitted to the emergency department with palpitations and shortness of breath. All the following orders are received. Which one will the nurse accomplish first?

A disoriented and agitated patient has come to the emergency department after using methamphetamine. Vital signs are blood pressure 162/98, heart rate 142 and irregular, and respirations 32. The most important intervention by the nurse is to

When working with a patient who has recently stopped using amphetamines, the nurse will advise the patient to avoid friends who use amphetamines because

During physical assessment of a patient who has a chronic upper respiratory infection and sinus headaches, the nurse finds nasal sores and necrosis of the nasal septum. The nurse should ask the patient specifically about the use of

All the following medications are ordered for a patient admitted with a blood alcohol concentration of 0.22 mg%. Which one will the nurse give first?

A patient with alcohol dependence is admitted to the hospital following an episode of hematemesis. Twenty-four hours after admission, the patient becomes very tremulous and anxious. An appropriate intervention by the nurse is to

A patient has a history of opioid abuse and is hospitalized after a fall down a flight of stairs. After a visit by a friend, the nurse finds the patient unresponsive with pinpoint pupils. Which of these ordered medications will the nurse administer?