Exam (elaborations)
Nursing 401 Exam #2 ~ Withdrawal, SBIRT, & Substance Use Disorders: Questions With Solutions
- Course
- Institution
Nursing 401 Exam #2 ~ Withdrawal, SBIRT, & Substance Use Disorders: Questions With Solutions
[Show more]
Content preview
Nursing 401 Exam #2 ~ Withdrawal, SBIRT, &Substance Use Disorders: Questions With Solutions
Attach to opioid receptors in the brain, spinal cord, and GI tract and block
transmission of pain Right Ans - How do opioids work?
Give euphoric feeling, numb emotional pain, acute relief of psych issues;
addictive, memory deficit, hallucinations/delusions, paranoia, worsening of
mental health, sedation, constipation, resp depression Right Ans - What are
the pros and cons of opioid use?
Clinical Opioid Withdrawal Scale (COWS) Right Ans - Tool used to assess
withdrawal from opioids
Can ensure safety, conduct withdrawal checks, administer pharmacological
replacement therapy, *prevent TD's if alcohol withdrawal* Right Ans - Why
is medically assisted withdrawal (MAW) better than going it alone?
Scored 0-4 or 5 for each parameter; 5-12 = Mild, 13-24 = Moderate, 25-36 =
Moderately severe, 37+ = Severe withdrawal Right Ans - How does COWS
scoring work?
Tachycardia, sweating, restlessness, dilated pupils, bone/joint aches, runny
nose, tearing, GI upset, diarrhea, tremors, yawning, goosebumps/pilorection
Right Ans - Objective symptoms of opioid withdrawal
Room with good lighting, normal = 3 Right Ans - How should pupils be
assessed during opioid withdrawal checks?
Tongue or abdomen Right Ans - Where can muscle twitching/tremors be
observed objectively?
Have patient in observable area 5 minutes before BP measurement Right
Ans - How to prevent patient running in place to raise BP during opioid
withdrawal checks
Nausea-crackers, ginger ale, tea, flat warm coke; muscle aches-hot shower,
warm compress, Tylenol; anxiety-distraction, relaxation and talk therapy
, Right Ans - What are the subjective symptoms of opioid withdrawal and some
interventions for relief?
Zofran, Phenergan PO or suppository; not IM r/t "rush" feeling Right Ans -
PRN meds given for nausea during opioid withdrawal
Vistaril or Atarax; avoid benzodiazepines Right Ans - PRN meds given for
anxiety, lacrimation, and rhinorrhea during opioid withdrawal
Trazadone Right Ans - PRN med given for insomnia during opioid
withdrawal
Tylenol (*unless esophageal varices or ulcers r/t alcohol use*),
NSAIDs/ibuprofen Right Ans - PRN meds given for myalgias during opioid
withdrawal
Kaopectate preferred, avoid Lomotil because of desired sedative effect
Right Ans - PRN meds given for diarrhea during opioid withdrawal
Narcan Right Ans - Emergency med for respiratory depression (larger
dose) and post-op recovery (smaller dose)
Methadone Right Ans - Medication given as substitution for opioids during
withdrawal, especially pregnant mothers, gives more predictable outcome in
fetus
Clonidine Right Ans - PRN med given for elevated BP during opioid
withdrawal
Suboxone (buprenorphine/Narcan) or Subutex (buprenorphine only)
Right Ans - Meds given for long-term reduction of opioid cravings; curb
cravings without producing "high" or dangerous SE's, block other opioids,
lower abuse potential
Vivitrol Right Ans - Long-term med for opioid AND alcohol dependence,
binds with opioid receptors without the high
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Studyhall. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83637 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now