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Questions and Answers
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?
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?
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?
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?
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
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
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
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
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Clients addicted to alcohol use denial as one of their prime defense mechanisms. The nurse understands that these clients use denial to:
Clients addicted to alcohol use denial as one of their prime defense mechanisms. The nurse understands that these clients use denial to:
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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?
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?
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Which client statement would indicate to the nurse that further teaching about Disulfiram (Antabuse) is necessary:
Which client statement would indicate to the nurse that further teaching about Disulfiram (Antabuse) is necessary:
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For clients with alcoholism, the primary rehabilitator is the:
For clients with alcoholism, the primary rehabilitator is the:
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In planning care for the patient, priority focused on:
In planning care for the patient, priority focused on:
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When thinking about alcohol and drug abuse the nurse should be aware that:
When thinking about alcohol and drug abuse the nurse should be aware that:
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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:
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:
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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?
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?
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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?
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?
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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?
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?
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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
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
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Which of the following outcomes would be the most important during the drug withdrawal?
Which of the following outcomes would be the most important during the drug withdrawal?
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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?
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?
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The nurse is aware that marijuana intoxication causes:
The nurse is aware that marijuana intoxication causes:
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What is the most widely used illegal drug?
What is the most widely used illegal drug?
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During assessment of a client present with dilated pupils, sweating, palpitations, & tachycardia. The nurse suspect the client is overdosed with:
During assessment of a client present with dilated pupils, sweating, palpitations, & tachycardia. The nurse suspect the client is overdosed with:
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Study Notes
Substance Use Disorders - Quiz 14
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Alcohol Consumption & Destruction: Breathing pure oxygen helps eliminate alcohol from the body.
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Contraband Searches: Personal belongings are searched for contraband upon admission to the hospital, potentially including alcohol-related items (e.g., alcoholic beverages).
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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.
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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.
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Realistic Analysis of Situation: A client's realistic assessment regarding alcohol avoidance shows an understanding of the need to actively abstain from alcohol.
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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).
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Client's Condition & Friends: A nurse should evaluate the friend's relationship with the client to support the client's needs.
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Alcohol Tolerance & Addiction: Increasingly larger doses of barbiturates required to achieve the same effect indicates tolerance and potential addiction.
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Primary Rehabilitator: The entire health team provides support and care for clients with alcoholism, not a single individual.
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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).
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Barbiturate Overdose: Respiratory depression is a likely cause of death in a client who overdosed on barbiturates.
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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.
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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
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Marijuana Intoxication: Constricted pupils are a symptom of marijuana intoxication.
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Stimulant Overdose: A client with dilated pupils, sweating, palpitations, and a fast heart rate suggests a stimulant overdose.
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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.
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Opioid Overdose: A client with clammy skin, pinpoint pupils and shallow respiration likely has an opioid overdose.
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Most Widely Used Illegal Drug: The study identified alcohol as the most widely used illegal drug.
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Description
This quiz focuses on key concepts related to alcohol consumption, assessment, and treatment in the context of substance use disorders. Topics include the effects of alcohol, denial mechanisms in clients, and the importance of realistic self-assessment. Test your knowledge on interventions like Disulfiram (Antabuse) and the significance of contraband searches in treatment settings.
