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Chamberlain College of Nursing - NURSING 326Substance use disorders questions

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Substance-Related and Addictive Disorders MULTIPLE CHOICE 1. Which is the priority nursing diagnosis for a client experiencing alcohol withdrawal? A. Risk for injury R/T central nervous system stim... ulation B. Disturbed thought processes R/T tactile hallucinations C. Ineffective coping R/T powerlessness over alcohol use D. Ineffective denial R/T continued alcohol use despite negative consequences 2. The nurse evaluates a client’s patient-controlled analgesia (PCA) pump and notices 100 attempts within a 30-minute period. Which is the best rationale for assessing this client for substance use disorder? A. Narcotic pain medication is contraindicated for all clients with active substance use problems. B. Clients who are regularly using alcohol or benzodiazepines may have developed cross-tolerance to analgesics and require increased doses to achieve effective pain control. C. There is no need to assess the client for substance use disorder. There is an obvious PCA malfunction. D. The client is experiencing symptoms of withdrawal and needs to be accurately assessed for lorazepam (Ativan) dosage. 3. On the first day of a client’s alcohol detoxification, which nursing intervention is the priority? A. Strongly encourage the client to attend 90 Alcoholics Anonymous meetings in 90 days. B. Educate the client about the biopsychosocial consequences of alcohol abuse. C. Administer ordered chlordiazepoxide (Librium) in a dosage per protocol. D. Administer vitamin B1 to prevent Wernicke-Korsakoff syndrome. 4.Which client statement indicates a knowledge deficit related to substance use? A. “Although it’s legal, alcohol is one of the most widely abused drugs in our society.” B. “Tolerance to heroin develops quickly.” C. “Flashbacks from lysergic acid diethylamide (LSD) use may reoccur spontaneously.” D. “Everyone smokes marijuana. It’s like smoking cigarettes. It’s harmless.” [Show More]

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