Substance Use Disorders - Quiz 14

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The client consumed about 6 ounces of alcohol just before coming to the hospital. Which of the following methods would be best for the nursing staff to use to promote alcohol destruction in the client's body?

  • Walk the client around the unit following a cold shower
  • Give the client black coffee to drink
  • Provide the client with a restful room so that he can sleep off the effects of alcohol (correct)
  • Have the client breathe pure oxygen through a face mask

Hospital policy requires that the client's belongings be searched for contraband on admission. In view of the client's drinking problem, which of his possessions is most likely to be confiscated by the nursing staff?

  • hair dress
  • antiseptic mouthwash (correct)
  • shaving cream
  • electric razor

While obtaining a nursing history, the nurse questions the client about the amount of alcohol he consumes daily. The nurse expects the client to likely answer the question by

  • Expressing uncertainty about the amount
  • Indicating that he does not know the amount
  • Exaggerating the amount
  • Underestimating the amount (correct)

The most important reason for investigating the amount of alcohol the client has consumed during the 24 to 48 hours before admission is to help determine

<p>The severity of withdrawal (C)</p> Signup and view all the answers

Clients addicted to alcohol use denial as one of their prime defense mechanisms. The nurse understands that these clients use denial to:

<p>Reduce their feeling of guilt (D)</p> Signup and view all the answers

Which of the following remarks that the client might make before his discharge would show the most realistic analysis of his situation in relation to avoiding future drinking problems?

<p>“I'm going to try hard to stay away from that first drink.” (B)</p> Signup and view all the answers

Which client statement would indicate to the nurse that further teaching about Disulfiram (Antabuse) is necessary:

<p>“I can drink one or two beers and not get sick while on Antabuse.” (A)</p> Signup and view all the answers

For clients with alcoholism, the primary rehabilitator is the:

<p>entire health team (C)</p> Signup and view all the answers

In planning care for the patient, priority focused on:

<p>Helping patient acknowledge that he has alcoholic problems (C)</p> Signup and view all the answers

When thinking about alcohol and drug abuse the nurse should be aware that:

<p>most alcoholics become polydrug users (C)</p> Signup and view all the answers

A client is brought by ambulance to the hospital emergency room after taking an overdose of barbiturates. When the went into shock at home and is semi-comatose on admission the cause of death would most likely be:

<p>Respiratory depression (B)</p> Signup and view all the answers

A male friend arrive a short time later carrying some of the client's personal belongings. He reports that the client has been taking about eight “reds” (800 mg. of secobarbital [Seconal] daily besides drinking more alcohol than usual. Which of the following terms best describes the interaction of barbiturates and alcohol?

<p>Potentiating (D)</p> Signup and view all the answers

The client's friend asks anxiously, “Do you think she will live?” Which of the following replies would be best for the nurse to make?

<p>Her condition is serious. You sound very worried about her? (A)</p> Signup and view all the answers

The nurse talks further with the client's friend and tries to determine the nature of their relationship. Which of the following motivations provides the best justification for the nurse's inquiries?

<p>To ascertain the friend's capabilities as a source of support for the client (A)</p> Signup and view all the answers

Before hospitalization, the client needed increasingly larger doses of barbiturates to achieve the same euphoric effect she initially realized from their use. From this information, the nurse should plan care taking into account that the client is likely

<p>Tolerance (C)</p> Signup and view all the answers

Which of the following outcomes would be the most important during the drug withdrawal?

<p>Remains safe during the process (D)</p> Signup and view all the answers

A client is brought to the ER by ambulance. When you do the initial assessment, you find that the client has a clammy skin, pinpoint pupils, and shallow respiration. The client has overdosed. What type of drug would result in these symptoms?

<p>Narcotics (B)</p> Signup and view all the answers

The nurse is aware that marijuana intoxication causes:

<p>Conjunctiva redness (B)</p> Signup and view all the answers

What is the most widely used illegal drug?

<p>Cannabis (B)</p> Signup and view all the answers

During assessment of a client present with dilated pupils, sweating, palpitations, & tachycardia. The nurse suspect the client is overdosed with:

<p>Stimulants (D)</p> Signup and view all the answers

Flashcards

Denial in Alcohol Addiction

A defense mechanism used by individuals with alcohol addiction to reduce their feelings of guilt and responsibility for their actions.

Alcohol Breakdown in Hospital

To accelerate the breakdown of alcohol in the body, the nursing staff can encourage the client to have a cold shower and then walk around the unit.

Contraband in Hospital for Substance Use

Antiseptic mouthwash, because it contains alcohol and is considered contraband in a hospital setting for patients admitted for substance use disorders.

Importance of Alcohol Intake History

The nurse asks about the client's alcohol consumption in the past 24-48 hours to assess the severity of withdrawal symptoms, which can be dangerous.

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Priority for Alcohol Addiction Care

The priority in caring for a patient with alcohol addiction is offering alternative coping mechanisms to reduce their reliance on alcohol.

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Polydrug Abuse in Alcoholism

One of the key points to remember about alcohol and drug abuse is that many alcoholics (and drug users) become polydrug users.

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Antabuse (Disulfiram) Teaching

Antabuse (Disulfiram) is a medication used to help people stay sober by causing unpleasant side effects when alcohol is consumed. The teaching needs to emphasize the importance of avoiding even small amounts of alcohol, such as those found in cough syrup, after-shave lotion, and mouthwash.

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Primary Rehabilitator in Alcoholism

The primary rehabilitator for clients with alcoholism is the client themselves. They are the ones who must make the decision to change and actively participate in their recovery.

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Barbiturate Overdose Death

Barbiturates are a type of sedative drug. Overdose can lead to respiratory depression, which is a major cause of death in such situations.

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Barbiturate & Alcohol Interaction

The interaction between barbiturates and alcohol is known as potentiating. This means that the effects of each drug are amplified when taken together.

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Responding to Friend's Concern About Client's Condition

The friend's concern should be acknowledged, and the nurse can respond with, “Her condition is serious. You sound very worried about her?” This acknowledges the friend's feelings without making any promises.

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Assessing Friend's Relationship with Client

The nurse's inquiry about the friend's relationship with the client is meant to assess the friend's potential role as a support system for the client during recovery.

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Barbiturate Tolerance

The client's increasing need for larger doses of barbiturates indicates they've developed tolerance. This means their body has become accustomed to the drug and requires more to achieve the same effect.

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Priority Outcome During Drug Withdrawal

The most important outcome during drug withdrawal is the client's safety. The nurse should prioritize measures to ensure the client remains stable and safe throughout the withdrawal process.

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Dilated Pupils and Marijuana Intoxication

Marijuana intoxication is commonly associated with dilated pupils.

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Most Widely Used Illegal Drug

The most widely used illegal drug in the world is cannabis.

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Symptoms of Stimulant Overdose

Dilated pupils, sweating, palpitations, and tachycardia are common symptoms of stimulant overdose. This could be due to drugs like amphetamines or cocaine.

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Pinpoint Pupils and Opioid Overdose

Opioids can result in constricted pupils, also known as pinpoint pupils. This is one of the key signs of opioid overdose, along with other symptoms like clammy skin and shallow respiration.

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Study Notes

Substance Use Disorders - Quiz 14

  • Alcohol Consumption & Destruction: Breathing pure oxygen helps eliminate alcohol from the body.

  • Contraband Searches: Personal belongings are searched for contraband upon admission to the hospital, potentially including alcohol-related items (e.g., alcoholic beverages).

  • Alcohol Consumption Assessment: Clients with alcohol problems may underestimate the amount of alcohol consumed daily. Assessing consumption over the 24-48 hours prior admission is crucial to understand the client's condition.

  • Alcoholism & Denial: Clients with alcoholism often use denial as a defense mechanism to minimize their problems. This is used to reduce guilt and maintain a sense of normalcy.

  • Realistic Analysis of Situation: A client's realistic assessment regarding alcohol avoidance shows an understanding of the need to actively abstain from alcohol.

  • Disulfiram (Antabuse) Education: Clients need education that the potential side effects of taking Antabuse with alcohol are extremely severe (a metallic or garlic taste in the mouth is normal; alcohol cannot be consumed in combination with Antabuse; waiting a minimum of two weeks after discontinuing the drug before consuming alcohol).

  • Client's Condition & Friends: A nurse should evaluate the friend's relationship with the client to support the client's needs.

  • Alcohol Tolerance & Addiction: Increasingly larger doses of barbiturates required to achieve the same effect indicates tolerance and potential addiction.

  • Primary Rehabilitator: The entire health team provides support and care for clients with alcoholism, not a single individual.

  • Alcohol & Drug Abuse Awareness: Nurses should be aware of the interrelation between alcohol and other drug use (e.g., that most alcoholics also use other drugs).

  • Barbiturate Overdose: Respiratory depression is a likely cause of death in a client who overdosed on barbiturates.

  • Drug Withdrawal Outcomes: The priorities during drug withdrawal include ensuring the client remains safe, acknowledging the negative consequences of substance abuse, participating in self-help groups and identifying triggers for relapse.

  • Potentiating Drugs (Barbiturates & Alcohol): Combined use of barbiturates and alcohol can have a potentiating effect, increasing the overall effect of both substances.

Substances and Symptoms

  • Marijuana Intoxication: Constricted pupils are a symptom of marijuana intoxication.

  • Stimulant Overdose: A client with dilated pupils, sweating, palpitations, and a fast heart rate suggests a stimulant overdose.

  • Hallucinogen Overdose: A nurse assesses a client with dilated pupils, sweating, palpitations, and a fast heart rate and suspects the client is overdosed with hallucinogens.

  • Opioid Overdose: A client with clammy skin, pinpoint pupils and shallow respiration likely has an opioid overdose.

  • Most Widely Used Illegal Drug: The study identified alcohol as the most widely used illegal drug.

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