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NURSING 265 WEEK 12 EAQ (ADDICTION) QUESTIONS AND ANSWERS ELABORATIONS!!
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NURSING 265 WEEK 12 EAQ (ADDICTION) QUESTIONS AND ANSWERS ELABORATIONS!!
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NURSING 265 WEEK 12 EAQ (ADDICTION) QUESTIONS ANDANSWERS ELABORATIONS!!
A nurse is counseling a client who abuses cocaine. The nurse recognizes that this
drug is representative of which drug category?
Answers :STimulant
Rationale
Cocaine is classified as a stimulant. It is inhaled in its powdered form or smoked as
crack; its use creates experiences similar to but more intense than those
experienced with the amphetamines, and its withdrawal results in a deeper crash.
Opioids and barbiturates are central nervous system depressants. Hallucinogens
produce cerebral excitation that can yield a state similar to psychosis.
A nurse, understanding the possible cause of alcohol-induced amnestic disorder,
should take into consideration that the client is probably experiencing which
imbalance?
Answers :Thiamine deficiency-The deficiency of thiamine (vitamin B1) is thought
to be a primary cause of alcohol-induced amnestic disorder.
Rationale
The deficiency of thiamine (vitamin B 1) is thought to be a primary cause of
alcohol-induced amnestic disorder. Reduced iron intake, increased serotonin, and
riboflavin malabsorption are all unrelated to alcohol-induced amnestic disorder.
When planning for a client's care during the detoxification phase of acute alcohol
withdrawal, what need should the nurse anticipate?
Answers :Checking on the client frequentlyDuring detoxification frequent checks
help ensure safety and prevent suicide, which is a real threat. Bright light is
preferable to dim light because it minimizes shadows that may contribute to
misinterpretation of environmental stimuli (illusions). The client who is going
through the detoxification phase of acute alcohol withdrawal usually does not lose
,his sense of hearing, so there is no need to shout. Restraints may upset the client
further; they should be used only if the client is a danger to himself or others.
A client reports drinking two drinks per day every day with no negative
consequences. How should this person be classified?
Answers :Daily drinker
Rationale
If a client drinks two drinks per day every day with no negative consequences, the
client is considered a daily drinker. If a client drinks over two drinks per day every
day, the client has a potential for future problems. This person does not meet the
criteria for any substance abuse or dependence diagnosis because there is no
evidence of tolerance or other signs of substance dependence and no negative
sequelae. There is no functional alcoholic diagnosis in the Diagnostic and
Statistical Manual of Mental Disorders.
The nurse encourages a client with Raynaud disease to stop smoking. Which
primary goal is the nurse trying to achieve?
Answers :Prevent peripheral vasoconstriction
Rationale
Nicotine causes spasms and constriction of the smooth muscles of the arterial
vasculature, compromising blood flow to the distal extremities. Nicotine does not
directly cause pain and tingling, although these may occur as consequences of
nicotine-induced vasoconstriction. Vasoconstriction from nicotine will not result in
such severe effects as cyanosis and necrosis. Smoking increases the
carboxyhemoglobin level in the blood; carbon monoxide combines with
hemoglobin and occupies the sites on the hemoglobin molecule that bind with
oxygen, thus decreasing oxygen content.Test-Taking Tip: Do not spend too much
time on one question, because it can compromise your overall performance. There
is no deduction for incorrect answers, so you are not penalized for guessing. You
cannot leave an answer blank; therefore, guess. Go for it! Remember: You do not
have to get all the questions correct to pass.
, A client with alcoholism was admitted a few hours ago for pancreatitis. For which
symptoms should the nurse carefully monitor this client?
Answers :Irritability and tremors
Rationale
The nurse should carefully monitor a client with alcoholism and pancreatitis for
irritability and tremors when it has been a few hours since admission. Alcohol is a
central nervous system depressant, and irritability and tremors are the body's
neurologic adaptation during withdrawal of alcohol. Tachycardia, irritability, and
tremors are the early signs of withdrawal and will appear 24 to 48 hours after the
last alcoholic drink has been consumed. Although it has only been a few hours
since admission, it is unknown how long it has been since the client last had an
alcoholic drink or how much time was spent during transportation to the hospital,
waiting to be seen, or in observation in the emergency department before
admission. Yawning occurs with heroin withdrawal. Convulsions (delirium
tremens, or DTs) are a later sign of severe withdrawal that occurs with alcohol
withdrawal delirium. Delirium (paranoia and disorientation) is not an early sign of
alcohol withdrawal and occurs 48 to 72 hours after abstinence. Fever and
diaphoresis may occur during prolonged periods of delirium and are due to
autonomic hyperactivity.STUDY TIP: When forming a study group, carefully
select members for your group. Choose students who have abilities and motivation
similar to your own. Look for students who have a different learning style than
you. Exchange names, email addresses, and phone numbers. Plan a schedule for
when and how often you will meet. Plan an agenda for each meeting. You may
exchange lecture notes and discuss content for clarity or quiz one another on the
material. You could also create your own practice tests or make flash cards that
review key vocabulary terms.
A client with a long history of alcohol abuse develops cirrhosis of the liver. The
client exhibits the presence of ascites. What does the nurse conclude is the most
likely cause of this client's ascites?
Answers :Impaired portal venous return
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