Substance Use and Health Implications

Questions and Answers

What happens when alcohol is combined with disulfiram?

Vomiting (correct)

Headache

No effect

Dizziness

Why is lorazepam given during alcohol withdrawal?

The medication is given for a short time to help the client complete the withdrawal process.

What substance is suspected if a client shows burns on the face and fingertips, a chronic cough, and pulmonary congestion?

cocaine

Which signs and symptoms may indicate withdrawal from heroin? (Select all that apply)

Yawning Signup and view all the answers

What are the primary elements of a treatment and recovery program for barbiturate addiction? (Select all that apply)

Abstinence Signup and view all the answers

Which drug reverses opioid toxicity?

Naloxone (Narcan) Signup and view all the answers

Which of the following is the most common defense mechanism used by a client diagnosed with a substance use problem?

Denial Signup and view all the answers

What are the likely nursing assessment findings for a client with acute symptoms of alcohol withdrawal?

Tremors, headache, flushed face, and hallucinations Signup and view all the answers

Which medication is expected to decrease the severity of withdrawal in heroin users?

Methadone Signup and view all the answers

What nursing diagnosis should be prioritized in the care of a client with chronic alcohol intake?

Imbalanced nutrition: less than body requirements related to chronic alcohol intake Signup and view all the answers

What blood alcohol level (in mg/dL) would indicate staggering and lack of emotional control?

200 Signup and view all the answers

For a client stopping disulfiram, avoid all forms of alcohol for a minimum of how many weeks?

2 Signup and view all the answers

What type of addiction would be suspected in a client with acne, lesions, and scratch marks along with discolored teeth?

Methamphetamine Signup and view all the answers

What response by the nurse would help a client view drinking more objectively?

"Tell me what happened the last time you felt you were under a lot of stress and drinking to cope." Signup and view all the answers

Which condition is most commonly found in a client who chronically abuses alcohol?

Enlarged liver Signup and view all the answers

Why are vitamins important for clients with a history of alcohol abuse?

"Prolonged use of alcohol can cause vitamin depletion." Signup and view all the answers

What intervention is most useful for a client recovering from alcohol abuse to develop coping skills?

Discussing examples of successful coping behavior Signup and view all the answers

What can a client expect after completing a residential treatment program for alcoholism?

She'll need ongoing support to remain abstinent. Signup and view all the answers

Which condition might typically be found in a client with a history of cocaine abuse?

Perforated nasal septum Signup and view all the answers

What exemplifies drug tolerance in a client using cocaine?

He has begun using the drug on a daily basis and requires larger doses for the same high. Signup and view all the answers

What is the most acute threat to health in a suspected heroin overdose?

Respiratory depression Signup and view all the answers

What effect does drinking beer while taking disulfiram produce?

Vomiting Signup and view all the answers

Which historical data is significant for a client with a 50-year history of smoking and alcohol abuse who developed dementia symptoms?

Heavy alcohol ingestion >10 years Signup and view all the answers

What is the correct statement about the pathophysiology related to substance abuse and chemical dependence?

All choices are true. Signup and view all the answers

What symptom of alcohol withdrawal is the priority to prevent?

Seizures Signup and view all the answers

How does disulfiram assist a patient in refraining from ingestion of alcohol?

Allows the accumulation of acetaldehyde. Signup and view all the answers

Smokers are how many times more likely to develop peripheral vascular disease than nonsmokers?

2 Signup and view all the answers

What term describes a client's drinking behavior if they drink 24 oz of vodka every day while maintaining daily functioning?

Tolerance Signup and view all the answers

What is an important nursing intervention to prevent relapse with a client who abuses alcohol?

Avoiding people, places, and activities from the former lifestyle Signup and view all the answers

What statement shows effective teaching about cocaine use?

"I started using cocaine more and more until I couldn't stop." Signup and view all the answers

Which statement about the potential consequences of chronic alcohol ingestion is correct?

Elevated aspartate aminotransferase (AST) Signup and view all the answers

What would indicate effective teaching for a client taking disulfiram after discharge?

"Drinking alcohol while taking Antabuse can cause dangerous symptoms." Signup and view all the answers

Which of the following is used as a substitute for heroin in some maintenance programs?

Methadone Signup and view all the answers

Which conditions may be attributable to chronic alcoholism?

All of the above Signup and view all the answers

What is the name for the pattern of birth defects that can occur due to exposure to alcohol during pregnancy?

Fetal Alcohol Syndrome Signup and view all the answers

Which statement most accurately describes the etiology of substance-related disorders?

Substance-related disorders result from the interplay of biologic, genetic, and psychosocial factors. Signup and view all the answers

What is the role of the nurse when working with a client admitted for treatment of addiction?

All choices are correct. Signup and view all the answers

What should the nurse assess for in a client who is suspected to be on methamphetamine?

Hypertension Signup and view all the answers

What is the priority symptom to manage in a patient withdrawing from alcohol?

Seizures Signup and view all the answers

What complication should the nurse anticipate in a client experiencing acute alcohol withdrawal?

The increased potential for seizures and hallucinations. Signup and view all the answers

What is an effective nursing intervention for a client with alcohol use disorder during the detoxification process?

Obtain a physician's order for lorazepam (Ativan). Signup and view all the answers

Match the following terms with their definitions:

Tolerance = A decreased response to a substance after repeated use. Withdrawal = Symptoms that occur when a substance is reduced or discontinued. Dependence = A state where a substance is needed to function normally. Addiction = Compulsive substance use despite harmful consequences. Signup and view all the answers

Study Notes

Opioid and Substance Use

Naloxone (Narcan) is the drug used to reverse opioid toxicity.
Denial is the most common defense mechanism among clients with substance use issues.
Symptoms of acute alcohol withdrawal include tremors, headache, flushed face, and hallucinations.
Methadone is prescribed to mitigate withdrawal symptoms in clients discontinuing heroin.

Alcohol Use and Health Implications

Clients with long-term alcohol use often face imbalanced nutrition due to chronic intake.
A blood alcohol level of 200 mg/dL indicates significant impairment such as staggering and emotional instability.
Following cessation of disulfiram, clients should avoid alcohol for at least 2 weeks to prevent adverse reactions.
Signs of Fetal Alcohol Syndrome include growth deficiencies and facial malformations in newborns.

Addiction and Cognitive Changes

Cognitive changes similar to dementia in alcoholics may stem from a thiamine deficiency.
Withdrawal from alcohol can present with severe symptoms, making seizures a priority complication to prevent.

Drug Tolerance and Other Substances

Drug tolerance develops as the body adapts to the substance, needing larger doses for the same effect.
Cocaine use may lead to physical manifestations like a perforated nasal septum.
Chronic use of substances like methamphetamine can result in physical damages such as broken or rotting teeth.

Treatment and Recovery

Effective strategies for clients recovering from alcohol include discussing successful coping behaviors and engaging in support groups.
Importance of vitamins in the recovery process is heightened due to prolonged alcohol use leading to deficiencies.
Facilities like Al-Anon provide essential support for families dealing with alcoholism.

Withdrawal Management

Clients showing symptoms of alcohol withdrawal syndrome may experience gastrointestinal distress and fluctuating autonomic function.
For opioid withdrawal, look for signs such as yawning, goosebumps, and diarrhea.
Lorazepam is a medication often utilized for managing withdrawal symptoms in alcohol dependency.

Substance Abuse Patterns

Substance abuse patterns are categorized from experimenting, habituation, to dependence and addiction.
The use of disulfiram can cause vomiting when alcohol is ingested and works by allowing acetaldehyde to accumulate in the body.

Client Statistics and Behaviors

Smokers are twice as likely to develop peripheral vascular disease compared to non-smokers.
A significant indication of recovery in clients post-heavy drinking is the acknowledgment that abstaining can lead to improved health.
Factors leading to substance-related disorders include a blend of biological, genetic, and psychosocial influences.

Conclusion on Addiction Relevance

Awareness of the signs, symptoms, and effective treatment strategies is crucial for managing clients with substance use disorders, particularly regarding their unique physical and psychological health needs.

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Description

This quiz covers crucial information regarding opioid and alcohol use, including the effects of drugs like Naloxone and Methadone. It also highlights the health implications of substance use, such as nutritional imbalances and cognitive changes. Test your understanding of these topics related to addiction and substance withdrawal.