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

A teenage patient brought to the emergency department by his parents was reported to have taken barbiturates with alcohol. For which adverse effect should the nurse assess this patient?

The nurse is determining a patient's degree of dependence on a substance. Which screening tools should the nurse use to help with this assessment?

A patient withdrawing from alcohol has an order for diazepam (Valium), 10 mg every 4 hours for 4 doses, then 5 mg every 4 hours for 4 doses. The drug comes in a concentration of 5 mg/mL. The total mL that the patient will receive would be _____.

A nurse consistently arrives to work wearing a long-sleeved blouse despite the temperature being in the 90s and the air humid. When colleagues mention her attire, the nurse becomes defensive and isolates herself from others. What does the nurse's behavior suggest?

A patient comes to the emergency department with a PCP overdose. Which intervention should the nurse anticipate will be needed?

A nurse has been convicted of driving while under the influence. What regulatory body will determine the status of the nurse's license?

The nurse is beginning the assessment of a patient with substance abuse. What should the nurse ask that demonstrates an open-ended question?

A patient admitted to the hospital after a motor vehicle accident frequently smokes ice and had smoked some as recently as two hours prior to the accident. Which assessment findings are consistent with this information?

A patient is brought into the emergency department with a gunshot wound obtained while attempting to rob a convenience store. For which health problem should this patient be assessed?

The nurse is reviewing the way abusive substances act on brain receptor sites. Place an "X" on the picture that represents an antagonistic effect.

The nurse is preparing material for a staff development presentation on substance abuse. Which information should the nurse include that addresses the family history of substance abuse?

The nurse identifies the problem of imbalanced nutrition due to insufficient intake for a patient hospitalized for substance abuse. What interventions should the nurse identify as appropriate for this patient?

The patient has been included in a research study along with 4,205 other patients who live in the United States. Two thousand two hundred of these patients are male. Of the female patients, how many are likely to be smokers?

A patient is brought into the emergency department with dilated pupils, respiratory rate of six per minute, and seizure activity. What should the nurse prepare to administer to this patient?

The patient states, "I think I am actually addicted to nicotine." Which assessment findings are consistent with this type of addiction?

A nurse is concerned about potential substance abuse by a coworker. What behavior warrants further investigation?

A patient recovering from outpatient carpal tunnel surgery returns to the surgical center the next day and tells the nurse that she is having trouble attending to daily activities and the pain is "excruciating," so she wants stronger pain medication immediately. What should this patient's behavior suggest to the nurse?

The nurse manager is concerned that one staff nurse is demonstrating signs of substance abuse. Which behaviors did the manager observe in the staff nurse?

The nurse is caring for a patient who uses marijuana. Which observations suggest that the amount of marijuana that the patient is using is dose-related?

The patient is exhibiting some addictive behaviors and has admitted to using illegal drugs. Which patient statements are consistent with addictive behaviors?