Deck 9: Substance Misuse and Abuse

Question 1

A male client on the nursing unit has a history of chemical abuse with lysergic acid diethylamide (LSD).If he began having a "bad flashback," what would be the most appropriate intervention by the nurse?

A) Restrain him and administer large doses of barbiturates
B) Provide a quiet environment,firm limits,and sedatives as ordered
C) Orient him to reality,be empathetic,and reassure him that everything is fine
D) Seclude him from others and use four-point restraints for safety

Answer 1

Provide a quiet environment,firm limits,and sedatives as ordered

Question 2

The nurse warns the client that adverse drug reactions may occur whenever disulfiram (Antabuse)is taken with which of the following medications?

A) Antiemetics
B) Anticoagulants
C) Antihypertensives
D) Antipyretics

Answer 2

Anticoagulants

Question 3

The nurse makes frequent assessments of a client who is comatose after a heroin overdose,looking for manifestations of which of the following that could lead to death?

A) Renal failure
B) Pulmonary edema
C) Adrenal crisis
D) Hepatic failure

Answer 3

Pulmonary edema

Question 4

The nurse provides careful anticipatory guidance to a client who wants to begin drug therapy with disulfiram (Antabuse),stating that ingestion of alcohol will lead to the development of which of the following?

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

Question 5

The nurse has just admitted to the emergency department a client who has overdosed on opioids.The nurse immediately assesses the client for which of the following manifestations that occurs with acute opioid overdose?

A) Tachypnea
B) Vomiting
C) Miosis
D) Psychosis

Question 6

A group of adolescents is admitted to the emergency department after a party in which several recreational drugs were used.The nurse would place highest priority on assessing the client with an overdose of which of the following hallucinogens,which has a history of the most serious adverse effects?

A) Cannabis sativa
B) Mescaline
C) Psilocybin
D) Phencyclidine

Question 7

The nurse would select which of the following medications from the emergency drug cart to be used in the treatment of opioid overdose?

A) Nalbuphine (Nubain)
B) Naloxone (Narcan)
C) Haloperidol (Haldol)
D) Pentazocine (Talwin)

Question 8

Stupor may occur with which of the following drug toxicities?

A) Barbiturates
B) Antipyretics
C) Diuretics
D) Steroids

Question 9

The nurse expects to note which of the following symptoms in a client going through barbiturate withdrawal?

A) Hypertension
B) Increased energy
C) Severe weakness
D) Hypothermia

Question 10

An 18-year-old woman has been admitted to the intensive care unit after a suicide attempt.Initial assessment shows that her blood pressure is 90/46 mm Hg,pulse is 110 beats/min,respirations are 8 breaths/min,and she is exhibiting altered thought processes.The nurse concludes that she has most likely taken an overdose of which of the following substances?

A) Barbiturates
B) Amphetamines
C) Methyl (wood)alcohol
D) Epinephrine

Question 11

The nurse explains to a client newly admitted to the detoxification center that which of the following is the drug of choice to treat opioid dependency?

A) Morphine
B) Naloxone
C) Methadone
D) Thorazine

Question 12

Which of the following statements made by nurse participating in a staff development program best reflects the effects of ethyl alcohol?

A) "The effects of ethyl alcohol are similar to those of amphetamines."
B) "Alcohol has a depressant effect on the central nervous system."
C) "In large quantities,alcohol has a depressant effect on the adrenal medulla."
D) "Enhanced thought processes result from small amounts of alcohol."

Question 13

In assessing a client who has overdosed on propoxyphene (Darvon),the nurse monitors for which of the following manifestations?

A) Mydriasis
B) Hypertension
C) Headache
D) Seizures

Question 14

A group of young teens was just brought in to the emergency department because of suspected inhalant abuse.The nurse would look for evidence of which of the following when conducting an assessment?

A) Subacute bacterial endocarditis
B) Increased urine output
C) Tachypnea
D) Central nervous system excitation followed by depression

Question 15

As a community project for the state nurses' association,the nurse has agreed to speak with high school athletic coaches about the topic of anabolic steroid use and associated dangers.Which of the following comments would be most appropriate to include regarding steroid use in athletes?

A) "The use of anabolic steroids in individuals younger than 50 years always results in improved muscle mass."
B) "Scientific data confirm the positive and negative effects of steroid use in athletic individuals."
C) "Continued use of anabolic steroids may result in reversible and sometimes irreversible liver disease."
D) "Men taking steroids will most likely have increased sperm production."

Question 16

Which of the following is an appropriate statement for instructing the client about disulfiram (Antabuse)?

A) "The reaction with alcohol will last only a few minutes and will be mildly uncomfortable."
B) "If you have cardiovascular disease,diabetes mellitus,epilepsy,or hypothyroidism,this medication will improve your condition."
C) "The effects of the drug will persist for approximately 24 hours after your last dose."
D) "Alcohol in any form,including colognes,vinegars,sauces,and over-the-counter preparations,may trigger a reaction while you are taking this drug."