Deck 7: Substance Abuse

Question 1

You are caring for an alcoholic in withdrawal. Which symptoms would alert the nurse to delirium tremors?

A)Hypertension, change in level of consciousness, hallucinations
B)Hypotension, ataxia, hunger
C)Stupor, agitation, muscular rigidity
D)Hypotension, coarse hand tremors, agitation

Answer 1

Hypertension, change in level of consciousness, hallucinations

Question 2

You are caring for a patient with a phosphorus level of 2.0 mg/dL. What condition do you know would cause the phosphorus level to be so low?

A)Alcoholism
B)Hypoparathyroidism
C)Tumor lysis syndrome
D)Renal insufficiency

Answer 2

Alcoholism

Question 3

You are caring for a patient in iron overload. Which medication do you suspect the physician will order?

A)Granisetron (Kytril)
B)Deferoxamine (Desferal)
C)Ketoconazole (Nizoral)
D)Terbinafine (Lamisil)

Answer 3

Deferoxamine (Desferal)

Question 4

You are working in the Emergency department when you receive a call from a mother who says her three-year-old has ingested furniture polish. What should you tell the mother to do first?

A)Induce vomiting.
B)Bring the child to the emergency department.
C)Call an ambulance.
D)Call the poison control center.

Question 5

You are caring for a patient with a severe burn. The patient is scheduled to go to surgery for an autograft of the lower extremity. What should you include in the postoperative plan of care for this patient?

A)Keep the surgical extremity flat.
B)Keep a blanket over the extremity.
C)Place the patient in prone position.
D)Immobilize and elevate the extremity.

Question 6

You are admitting a child with partial and full thickness burns over 35% of the body. The priority intervention for this child would be:

A)Morphine
B)Restricting fluids
C)Nasogastric tube
D)Foley catheter

Question 7

You are caring for a child in burn shock. Which of the following assessments indicates the child is getting adequate fluid resuscitation?

A)Skin turgor
B)Edema at burn sites
C)Peripheral pulses
D)Neurological assessment

Question 8

You are caring for a patient with Lyme disease. Which of the following would be the method that the patient contracted Lyme disease?

A)Skin contact with an infected person.
B)Inhalation of spores in bird droppings.
C)Contamination from cat feces.
D)Tick carried by deer.

Question 9

What signs and symptoms would a a patient with stage I Lyme disease have?

A)Signs of neurological disorders
B)Enlarged and inflamed joints
C)Arthralgias
D)Flu-like symptoms

Question 10

When developing a plan of care for a patient with stage I Lyme disease, which of the following would you want to include?

A)No treatment without symptoms
B)Three-week course of antibiotics
C)Intravenous antibiotics
D)Oatmeal baths for two weeks

Question 11

You are caring for a patient with frostbite on the hand. What assessment finding do you expect to find on the hand?

A)Edema in the nailbeds with fiery red skin
B)The hand is pink and edematous.
C)Erythematous rash and black fingertips
D)Decreased sensitivity to touch with white color to the skin

Question 12

Which of the following would be prescribed for a patient with frostbite on the toes?

A)Continuous, rapid rewarming of the toes in warm water until flushing returns
B)Continuous, rapid rewarming of the toes in warm water for 15 to 20 minutes
C)Continuous, rapid rewarming of the toes in warm water once flushing returns
D)Continuous, rapid rewarming of the toes in cold water for 45 minutes

Question 13

What is the anticipated therapeutic effect of an escharotomy?

A)Bleeding from the site
B)Formation of granulation tissue
C)Decreasing edema formation
D)Return of distal pulses

Question 14

Your patient has sustained a burn from cutaneous exposure to lye. The patient received one hour of irrigation at the site of the injury prior to coming to the emergency department. When you assess the site what, finding tells you that the burn continues?

A)Eschar
B)Liquefaction necrosis
C)Cherry red, firm tissue
D)Intact blisters

Question 15

Which of the following would you expect to see with second- and third-degree burns in the emergent phase?

A)Decreased heart rate
B)Increased blood pressure
C)Elevated hematocrit levels
D)Increased urinary output

Question 16

You are caring for a patient with second- and third-degree burns who is getting fluid intravenously. What would you assess to determine if the patient is getting adequate fluid?

A)Vital signs
B)Urine output
C)Peripheral pulses
D)Mental status

Question 17

You are caring for patient who has a burn to the knee. The patient has just completed an autograft and grafting to the burn site. Which of the following orders prescribed is appropriate for this patient?

A)Immobilization of the affected extremity
B)Out of bed
C)Placing the affected extremity in a dependent position
D)Bathroom privileges

Question 18

You are caring for a patient who has been bitten by dog. What medication do you suspect the physician will order for this patient?

A)Tetanus vaccine
B)Rabies vaccine
C)Antibiotics
D)Antivenom

Question 19

You are caring for a patient with hypothermia who is undergoing the rewarming process. What nursing diagnosis would you want to include in this patient's care plan?

A)Deficient knowledge
B)Risk for injury
C)Risk for infection
D)Pain

Question 20

You are caring for a patient who has taken a drug overdose. You must administer charcoal to the patient. You understand that the reason for giving charcoal is to:

A)Induce vomiting
B)Absorb toxins
C)Decrease serum dug levels
D)Cause quick evacuation of pill fragments

Question 21

You are caring for a patient in the withdrawal process. What medication do you expect the physician to order to make the withdrawal process easier?

A)Tetrahydrocannabinol
B)Naltrexone hydrochloride
C)Benzodiazepine
D)Amphetamines

Question 22

You are caring for a patient who is being prepared for surgery. The patient has a history of alcohol abuse. Which of the following would the patient be at risk for because of the alcohol abuse?

A)Impaired liver metabolism
B)Hyperviaminosis
C)Central nervous system stimulation
D)Hypermagnesemia

Question 23

What causes neurological deficiencies associated with long-term alcohol abuse?

A)Nervous system damage by the alcohol
B)Alcohol's interference with folate delivery
C)Impaired metabolism
D)Poor general nutrition

Question 24

You are caring for a patient who is diaphoretic and disoriented and has a temperature of 100 degrees Fahrenheit. The patient complains of anxiety and disorientation and is unable to sit still. What do you suspect is causing the patient's symptoms?

A)Withdrawal from alcohol or depressants
B)Flu
C)Withdrawal from antipsychotic drugs
D)Abruptly discontinuing lithium

Question 25

Which of the following medications would you give to a patient with benzodiazepine overdose?

A)Diazepam (Valium)
B)Traizolam (Halicion)
C)Fluvoxamine (Luvox)
D)Flumazenil (Romazicon)

Question 26

A patient inquires about the therapeutic uses of marijuana. You know that marijuana is used for what therapeutic use?

A)Stimulating appetite
B)Stimulating the patient to become more organized and motivated
C)Reducing stress
D)Antibacterial agent

Question 27

Your patient is starting on disulfiram (Antabuse) for alcohol withdrawal. What is the highest priority for this patient?

A)Social reintegration
B)Learning about the disease
C)Remaining abstinent
D)Remaining in rehab

Question 28

You are caring for a patient who will be transitioning to outpatient care. What statement by the patient would lead you to believe the patient is at risk for relapse?

A)The patient has been dreaming about gambling and compulsive sex.
B)The patient is unhappy.
C)The patient is hungry and tired
D)The patient has been keeping thoughts of using a secret

Question 29

You are caring for a patient who complains of sexual dysfunction. The patient was admitted for alcohol dependence. What education should you provide this patient on sexual dysfunction and alcohol abuse?

A)Alcohol abuse increases desire and performance ability.
B)Alcohol abuse leads to headaches and too-tired syndrome.
C)Alcohol abuse leads to hyperarousal and premature ejaculation.
D)Alcohol abuse decreases desire and ability to perform.

Question 30

Your patient stopped drinking abruptly and now complains of feeling wired and being on pins and needles. What should your next intervention be?

A)Monitor the patient for other symptoms.
B)Determine the time of last drink, and assess the patient for other signs and symptoms of withdrawal.
C)Assess the patient for all current substance use patterns, including time of last usage and withdrawal.
D)Notify the physician to get an order for stimulate medication.