Question 1

If an individual drinks alcohol while on disulfiram (Antabuse)therapy,which will most likely occur?

Accepted Answer

A) Euphoria 
B) Vomiting 
C) Hypertension 
D) Hypoventilation 
A) Euphoria 
B) Vomiting 
C) Hypertension 
D) Hypoventilation B

Question 2

Which is the main substance of misuse among older adults?

Accepted Answer

A) Cigarettes 
B) Alcohol 
C) OTC medications 
D) Prescription medications 
A) Cigarettes 
B) Alcohol 
C) OTC medications 
D) Prescription medications B

Question 3

During a substance abuse lecture for teenage girls,the nurse is asked about "roofies." This slang term refers to what substance?

Accepted Answer

A) Cocaine 
B) flunitrazepam 
C) hydromorphone 
D) Methamphetamine 
A) Cocaine 
B) flunitrazepam 
C) hydromorphone 
D) Methamphetamine B

Question 4

Which statement is true in regard to drugs used in cigarette smoking cessation programs?

Accepted Answer

A) Slow chewing of nicotine gum releases an immediate dose of nicotine. 
B) Acute relief from withdrawal symptoms is most easily achieved with the use of the transdermal patch. 
C) Patient adherence is higher with transdermal patches than with nicotine gum. 
D) Nicotine gum can be used only up to six times a day. 
A) Slow chewing of nicotine gum releases an immediate dose of nicotine. 
B) Acute relief from withdrawal symptoms is most easily achieved with the use of the transdermal patch. 
C) Patient adherence is higher with transdermal patches than with nicotine gum. 
D) Nicotine gum can be used only up to six times a day.

Question 5

A 38-year-old male has been using the "cold turkey" approach to stop smoking.Although he hasn't smoked for 6 months,he tells the nurse that he still feels strong cigarette cravings and wonders whether he will ever get over the cravings.Which statement is true?

Accepted Answer

A) The cravings will never stop. 
B) The cravings may persist for months to years. 
C) The cravings indicate that he has been using nicotine. 
D) The cravings indicate that he is about to experience nicotine withdrawal. 
A) The cravings will never stop. 
B) The cravings may persist for months to years. 
C) The cravings indicate that he has been using nicotine. 
D) The cravings indicate that he is about to experience nicotine withdrawal.

Question 6

A patient has been taking naltrexone (ReVia)as part of the treatment for addiction to heroin.
Which statement is true in this case?

Accepted Answer

A) Naltrexone will prevent the patient's cravings for opioid drugs. 
B) Naltrexone will work as a safer substitute for the heroin until the patient completes withdrawal. 
C) The patient will experience hypertension and severe nausea if the patient takes heroin while on naltrexone. 
D) If opioid drugs are used while taking naltrexone, euphoria is not produced; thus, the drug's effects are lost. 
A) Naltrexone will prevent the patient's cravings for opioid drugs. 
B) Naltrexone will work as a safer substitute for the heroin until the patient completes withdrawal. 
C) The patient will experience hypertension and severe nausea if the patient takes heroin while on naltrexone. 
D) If opioid drugs are used while taking naltrexone, euphoria is not produced; thus, the drug's effects are lost.

Question 7

Chronic use of alcohol may result in which condition?

Accepted Answer

A) Renal failure 
B) Stroke 
C) Korsakoff's psychosis 
D) Alzheimer's disease 
A) Renal failure 
B) Stroke 
C) Korsakoff's psychosis 
D) Alzheimer's disease

Question 8

During a party,a guest who is on disulfiram (Antabuse)therapy drinks half a glass of wine.The party guest will quickly experience which symptoms? (Select all that apply.)

Accepted Answer

A) Euphoria 
B) Vomiting 
C) Diarrhea 
D) Pallor 
E) Flushed skin
F)Sweating
G)Hypoventilation 
A) Euphoria 
B) Vomiting 
C) Diarrhea 
D) Pallor 
E) Flushed skin
F)Sweating
G)Hypoventilation

Question 9

A 29-year-old male is admitted to the Critical Care Unit with the following symptoms: restlessness,hyperactive reflexes,talkativeness,confusion,dry mouth,and excessive sweating.The nurse suspects that he may be experiencing the effects of taking which substance?

Accepted Answer

A) Opiates 
B) Alcohol 
C) Stimulants 
D) Depressants 
A) Opiates 
B) Alcohol 
C) Stimulants 
D) Depressants

Question 10

A patient in a rehabilitation centre is beginning to experience opioid withdrawal symptoms.What would you expect to be ordered for this patient's treatment?

Accepted Answer

A) diazepam (Valium) 
B) methadone hydrochloride 
C) disulfiram (Antabuse) protocol 
D) Antidepressant therapy 
A) diazepam (Valium) 
B) methadone hydrochloride 
C) disulfiram (Antabuse) protocol 
D) Antidepressant therapy

Question 11

A patient is being treated for ethanol abuse.
What should the nurse tell this patient about disulfiram (Antabuse)therapy?

Accepted Answer

A) Do not smoke cigarettes while on this drug. 
B) Several common over-the-counter (OT
C)  substances contain alcohol. 
C) This drug will cause the same effects as the alcohol did but without the euphoric effects. 
D) Any type of mouthwash or cough medicine can be used because they contain alcohol only in small amounts. 
A) Do not smoke cigarettes while on this drug. 
B) Several common over-the-counter (OT
C)  substances contain alcohol. 
C) This drug will cause the same effects as the alcohol did but without the euphoric effects. 
D) Any type of mouthwash or cough medicine can be used because they contain alcohol only in small amounts.

Exam 18: Substance Misuse

If an individual drinks alcohol while on disulfiram (Antabuse)therapy,which will most likely occur?

Which is the main substance of misuse among older adults?

During a substance abuse lecture for teenage girls,the nurse is asked about "roofies." This slang term refers to what substance?

Which statement is true in regard to drugs used in cigarette smoking cessation programs?

A 38-year-old male has been using the "cold turkey" approach to stop smoking.Although he hasn't smoked for 6 months,he tells the nurse that he still feels strong cigarette cravings and wonders whether he will ever get over the cravings.Which statement is true?

A patient has been taking naltrexone (ReVia)as part of the treatment for addiction to heroin. Which statement is true in this case?

Chronic use of alcohol may result in which condition?

During a party,a guest who is on disulfiram (Antabuse)therapy drinks half a glass of wine.The party guest will quickly experience which symptoms? (Select all that apply.)

A 29-year-old male is admitted to the Critical Care Unit with the following symptoms: restlessness,hyperactive reflexes,talkativeness,confusion,dry mouth,and excessive sweating.The nurse suspects that he may be experiencing the effects of taking which substance?

A patient in a rehabilitation centre is beginning to experience opioid withdrawal symptoms.What would you expect to be ordered for this patient's treatment?

A patient is being treated for ethanol abuse. What should the nurse tell this patient about disulfiram (Antabuse)therapy?

Nursing Practice in Canada and Drug Therapy

Pharmacological Principles

Legal and Ethical Considerations

Patient Focused Considerations

Gene Therapy and Pharmacogenomics

Medication Errors: Preventing and Responding

Patient Education and Drug Therapy

Over-the-Counter Drugs and Natural Health Products

Vitamins and Minerals

Principles of Drug Administration

Analgesic Drugs

General and Local Anaesthetics

Central Nervous System Depressants and Muscle Relaxants

Central Nervous System Stimulants and Related Drugs

Antiepileptic Drugs

Antiparkinsonian Drugs

Psychotherapeutic Drugs

Adrenergic Drugs

Adrenergic-Blocking Drugs

Cholinergic Drugs

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Antihypertensive Drugs

Antianginal Drugs

Heart Failure Drugs

Antidysrhythmic Drugs

Coagulation Modifier Drugs

Antilipemic Drugs

Diuretic Drugs

Fluids and Electrolytes

Pituitary Drugs

Thyroid and Antithyroid Drugs

Antidiabetic Drugs

Adrenal Drugs

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Antihistamines,Decongestants,Antitussives,and Expectorants

Respiratory Drugs

Acid-Controlling Drugs

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Antibiotics, Part 1: Sulfonamides, Penicillins, Cephalosporins, Macrolides, and Tetracyclines

Antibiotics Part 2: Aminoglycosides, Fluoroquinolones, and Other Drugs

Antiviral Drugs

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Antimalarial, Antiprotozoal, and Anthelmintic Drugs

Anti-Inflammatory and Antigout Drugs

Immunosuppressant Drugs

Immunizing Drugs and Pandemic Preparedness

Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs

Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific and Miscellaneous Drugs

Biological Response–Modifying Drugs

Anemia Drugs

Dermatological Drugs

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Otic Drugs

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