ENA Module Test Substance Abuse
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Questions and Answers

Which of the following substances is classified as a depressant?

  • Cocaine
  • Methamphetamine
  • Gamma-hydroxybutyrate (GHB) (correct)
  • Nicotine
  • An adolescent is found unresponsive, apneic, and pulseless. A rage soaked in an unknown chemical was found lying next to the patient's head. Which of the following intoxications is the most likely cause of this patient's presentation?

  • Opioids
  • Stimulants
  • An inhalant (correct)
  • Alcohol
  • Which of the following substances can be administered by snorting?

  • Alcohol
  • Ketamine (correct)
  • Methamphetamine
  • Heroin
  • Which of the following statements is accurate?

    <p>Use of tobacco products is considered substance abuse.</p> Signup and view all the answers

    Which substance of abuse is the patient most likely to be using if they present with palpitations, badly decayed teeth, and constant teeth grinding?

    <p>methamphetamine</p> Signup and view all the answers

    Which substance of abuse has an increased risk of respiratory depression when combined with alcohol?

    <p>Zolpidem (Ambien)</p> Signup and view all the answers

    Abuse of synthetic cathinone ('bath salts') can produce which set of symptoms?

    <p>Dehydration, breakdown of skeletal muscle tissue, and kidney failure</p> Signup and view all the answers

    Which of the following substances can cause feelings of paranoia?

    <p>Psilocybin</p> Signup and view all the answers

    Which substance of abuse can cause myocardial ischemia?

    <p>Synthetic Marijuana (K2/Spice)</p> Signup and view all the answers

    Which of the following agents increase blood pressure?

    <p>Lysergic acid diethylamide (LSD)</p> Signup and view all the answers

    Which of the following drugs can cause loss of interest in sex?

    <p>Cocaine</p> Signup and view all the answers

    Which medication is anticipated to manage an adolescent's condition when presenting with profuse sweating and bilateral nystagmus?

    <p>Lorazepam (Ativan)</p> Signup and view all the answers

    Long-term tobacco abuse is linked to which health problems?

    <p>Bronchitis and chronic obstructive pulmonary disease</p> Signup and view all the answers

    Which of the following is a symptom of heroin withdrawal?

    <p>Agitation</p> Signup and view all the answers

    Which substance may cause violent behavior?

    <p>Inhalants</p> Signup and view all the answers

    Which medication is commonly used to decrease autonomic hyperactivity in the patient presenting with alcohol withdrawal?

    <p>Lorazepam (Ativan)</p> Signup and view all the answers

    Which of the following substances is classified as a stimulant?

    <p>Nicotine</p> Signup and view all the answers

    Which of the following statements regarding alcoholism is accurate?

    <p>Alcoholism can cause sexual dysfunction.</p> Signup and view all the answers

    Which substance causes flashbacks?

    <p>Mescaline</p> Signup and view all the answers

    Which statement regarding substance abuse is correct?

    <p>Substance abuse is a significant problem among older adults.</p> Signup and view all the answers

    Which finding is most likely to occur during alcohol withdrawal?

    <p>Delusions</p> Signup and view all the answers

    Which condition is a complication of heroin use?

    <p>Bacterial endocarditis</p> Signup and view all the answers

    Which substance causes vasoconstriction?

    <p>Nicotine</p> Signup and view all the answers

    Which drug category has a side effect of constipation?

    <p>Opioids and morphine derivatives</p> Signup and view all the answers

    Which substance places a patient at risk for dehydration?

    <p>Ecstasy</p> Signup and view all the answers

    Signs of alcohol withdrawal can occur in the patient who has a positive blood alcohol level.

    <p>True</p> Signup and view all the answers

    Which substance causes a decreased heart rate?

    <p>Gamma hydroxybutyrate (GHB)</p> Signup and view all the answers

    Which characteristic is indicative of substance dependence?

    <p>Withdrawal symptoms when the substance is stopped</p> Signup and view all the answers

    Which substance causes an increased respiratory rate?

    <p>Dexedrine</p> Signup and view all the answers

    Which cocaine delivery route produces the quickest strongest high?

    <p>Smoking</p> Signup and view all the answers

    Which substance produces the sensation of 'bugs crawling under the skin'?

    <p>Methamphetamine</p> Signup and view all the answers

    Study Notes

    Substance Classifications

    • Gamma-hydroxybutyrate (GHB) is identified as a depressant.
    • Nicotine is classified as a stimulant.
    • Synthetic marijuana (K2/Spice) can cause myocardial ischemia.
    • Inhalants have the potential to cause violent behavior.

    Intoxication and Withdrawal Symptoms

    • Inhalants can lead to unresponsiveness, apneic, and pulseless states in cases of severe intoxication.
    • Signs of alcohol withdrawal can manifest even with a positive blood alcohol level.
    • Symptoms of heroin withdrawal include agitation.
    • Long-term tobacco abuse is associated with bronchitis and chronic obstructive pulmonary disease (COPD).

    Routes of Administration

    • Ketamine can be administered via snorting.
    • Smoking cocaine provides the quickest and strongest high.

    Effects on Health

    • Use of synthetic cathinone ("bath salts") can result in dehydration, muscle breakdown, and kidney failure.
    • Zolpidem (Ambien) increases respiratory depression risk when taken with alcohol.
    • Cocaine may cause loss of interest in sexual activities.
    • Amphetamines like Dexedrine can increase respiratory rate.

    Medical Management

    • Lorazepam (Ativan) is commonly used to manage alcohol withdrawal symptoms and autonomic hyperactivity.
    • For acute intoxication presenting with symptoms such as nystagmus and sweating, lorazepam may also be used.

    Psychological and Physiological Reactions

    • Psilocybin can induce feelings of paranoia.
    • Mescaline is known to cause flashbacks.
    • Methamphetamine users may experience "bugs crawling under the skin."
    • Withdrawal from substances can lead to various psychological issues, including delusions.

    Statistically Linked Problems

    • Substance abuse is a significant issue among older adults.
    • Use of tobacco products is classified as substance abuse.

    Additional Considerations

    • Opioids and morphine derivatives can result in constipation.
    • Ecstasy use can lead to dehydration.
    • Nicotine is linked to vasoconstriction.
    • General withdrawal symptoms include a range of physical and psychological effects, highlighting the complexity of substance dependence.

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    Description

    Test your knowledge on substance abuse with this ENA module quiz. It covers various substances, their classifications, and the effects they have on individuals. Perfect for students studying emergency nursing and substance abuse topics.

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