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

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During an assessment a patient with multiple substance addictions asks why the need for drugs and alcohol is so great. What should the nurse include when responding to this patient?

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B,C,E

A patient with a history of chronic alcohol use is underweight and malnourished. What should the nurse expect to be prescribed to manage the patient's nutritional status?

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A

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?

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A,C,D,E

The mother of a patient admitted with alcohol abuse tells the nurse that alcohol is not consumed at home and the patient is adopted. What should the nurse suspect about the patient?

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A patient tells the nurse that she started to have a glass of wine every evening at home after work to "unwind" and then realized that she cannot continue with her day unless she has the wine. The nurse realizes that this patient uses wine to

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

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The nurse decides to include the CAGE questionnaire and B-DAST screening tool when assessing an adolescent admitted with panic and agitation. For which substances is this nurse most likely planning to assess in this patient?

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The nurse is concerned that a colleague is experiencing depression from substance abuse. What does the nurse observe to make this assumption?

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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?

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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?

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A patient involved in a minor accident reports having used "crank" an hour ago. The patient denies having used the drug before. What manifestations can the nurse anticipate occurring with this patient?

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A patient comes into the emergency department wanting to be checked for sexual activity since she was out the other night at a rave and cannot remember what occurred. The nurse realizes that which addictive substance would cause this effect?

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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? 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?

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A patient admitted with seizures is diagnosed with a perforated nasal septum. The nurse realizes that this patient most likely has abused which substance?

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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?

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

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The nurse manager suspects that a nurse is experiencing role strain and is at risk for developing substance abuse. What did the manager observe to come to this conclusion about the nurse?

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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?

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After a patient undergoes surgery, the nurse notes that the analgesics prescribed are not relieving the patient's pain. A review of the patient's medical records reveals a history of alcohol abuse. What inferences can the nurse make?

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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? 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?

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