Exam 7: Substance Use and Health Assessment

While admitting a patient with liver failure resulting from consumption of harmful amounts of alcohol, the nurse should include assessment of:

The nurse is caring for a mother after the delivery of her infant.The mother had reported using an antidepressant through her pregnancy and is worried about her baby.The nurse should reassure the mother and:

A patient has been admitted to the hospital after a weekend of binge drinking.What are some signs the nurse will observe indicating withdrawal from alcohol?

Having affirmed alcohol use, the nurse is asking an adolescent about illicit substance use.The adolescent answers, "Yes, I've tried cocaine at parties with my friends." What is the next question the nurse should ask?

The nurse is arranging a health promotion information session for the community's older adults.What is a common concern for the older adult population regarding substance use should the nurse include?

A woman has come to the clinic to seek help for a substance abuse problem.She admits to using cocaine just before arriving.Which of these assessment findings would the nurse expect to find when examining this woman?

A woman who has just discovered that she is pregnant is in the clinic for her first obstetric visit.She asks the nurse, "How many drinks a day is safe for my baby?" The nurse's best response is:

While working with a group of university students, the nurse undertakes a harm reduction approach to alcohol consumption by introducing:

A patient visits the clinic to ask about smoking cessation.He has smoked heavily for 30 years and wants to stop "cold turkey." He asks the nurse, "What symptoms can I expect if I do this?" Which of these symptoms should the nurse share with the patient as possible symptoms of nicotine withdrawal? (Select all that apply.)

To advocate for a harm reduction approach to substance use the nurse suggests:

The nurse is reviewing aspects of substance use in preparation for a seminar.Which of these statements illustrates the concept of tolerance to an illicit substance? The person:

A patient with a known history of heavy alcohol use has been admitted to the intensive care unit after he was found unconscious outside a bar.The nurse closely monitors him for symptoms of withdrawal.Which of these symptoms may occur during this time? (Select all that apply.

The nurse has completed an assessment on a patient who came to the clinic for a leg injury.As a result of the assessment, the patient states desire to quit drinking.Which action by the nurse is most appropriate at this time?

The nurse is admitting a patient with a history of cocaine use.The nurse will document:

As the nurse is preparing the patient for surgery, he states that he usually has three glasses of wine a night to relax and help him sleep.What else will the nurse need to assess the patient postoperatively in addition to the regular postoperative assessments?

A patient is brought to the emergency department.He is restless, has dilated pupils, is sweating, has a runny nose and tearing eyes, and complains of muscle and joint pains.His girlfriend thinks he has influenza, but she became concerned when his temperature went up to 39.4°C.She admits that he has been a heavy drug user, but he has been trying to stop on his own.The nurse suspects that the patient is experiencing withdrawal symptoms from which substance?

During the first meeting with the patient, the nurse takes a respectful, least invasive approach to assessing substance use by asking:

After history taking and physical assessment of a patient with a known history of illicit substance use, what information will the nurse chart? (Select all that apply.)