T2 - Substance-Related & Addictive Disorders (Josh) Flashcards

1
Q

Addiction is a — — disorder

A

Substance-Use Disorder

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2
Q

Mr. White has been admitted after binge drinking. His wife reports that he has been a heavy drinker for a # of yrs. Lab reports reveal he has a blood alcohol level of 250 mg/dL. He is placed on chemical addiction unit for detox. When would the first signs of alcohol withdrawal symptoms be expected?

a) several hrs after last drink
b) 2-3 days after last drink
c) 4-5 days after last drink
d) 6-7 days after last drink

A

a) several hrs after last drink

- 4-12 hrs

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3
Q

If operating an automobile, what is considered intoxication?

What is normally considered intoxication?

A

80 g/dL (0.08%)

100-200 mg/dL

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4
Q

Intoxication is – — disorder

A

Substance-Induced Disorder

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5
Q

Drugs for ETOH Withdrawal (ATI)

A

Diazepam

Lorazepam

Carbamazepine

Clonidine

Chlordiazepoxide

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6
Q

A nurse is providing teaching to the family of a client who has a substance use disorder. Which of the following statements by a family member indicates need for further teaching?

a) We need to understand that she is not responsible for her disorder
b) Eliminating any codependent behavior will promote recovery
c) She should participate in an Al-anon group to help her recover
d) The primary goal of her treatment is abstinence from substance use

A

c) She should participate in an Al-anon group to help her recover
- Al-anon is for the family, not the client
- AA is for the client

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7
Q

Signs of Opioid Withdrawal

A

dysphoric mood

n/v

muscle aches

lacrimation or rhinorrhea

pupil dilation

piloerection

sweating

diarrhea

yawning

fever

insomnia

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8
Q

What is the most common ego defense mechanism used by alcoholics?

A

denial

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9
Q

A nurse is caring for a client who has ETOH use disorder. The client is no longer experiencing withdrawal manifestations. Which of the following meds should the nurse anticipate administering to assist the client w/ maintaining abstinence?

a) Chlordiazepoxide
b) Buproprion
c) Disulfrium
d) Carbamazepine

A

c) Disulfrium

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10
Q

Alcohol intoxication occurs at

A

100-200 mg/dL

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11
Q

What are some complications from cirrhosis of the liver?

A

Portal HTN

Ascites

Esophageal Varices

Hepatic Encephalopathy

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12
Q

Withdrawal is a — — disorder

A

Substance-Induced Disorder

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13
Q

When could ETOH Withdrawal Delirium occur?

A

2-3 days after cessation

lasts for 2-3 days

it is a medical emergency

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14
Q

Dan, who has been admitted to the ETOH rehab unit after being fired for drinking on the job states to the nurse, ‘I don’t have a problem w/ ETOH. I can handle booze better than anyone I know. My boss is a jerk! I haven’t missed more days than my coworkers.’

The nurses best response is..

a) Maybe your boss is mistaken
b) You’re here b/c your drinking was inerferring w/ your work
c) Get real! Youre a boozer and you know it!
d) Why do you think your boss sent you here?

A

b) You’re here b/c your drinking was inerferring w/ your work

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15
Q

Features of Fetal Alcohol Syndrome (FAS)

A

small eye opening

small head circumference

skin folds at corner of ey

small midface

short nose

thin upper lip

indistinct groove b/t lip

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16
Q

Complicated ETOH withdrawal can progress to –

A

Alcohol Withdrawal Delirium

17
Q

Alcohol withdrawal occurs within — of cessation/reduction in ETOH.

A

4-12 hours

18
Q

– is identified by confusion, loss of recent memory, and confabulation in alcoholics.

A

Korsakof’s Psychosis

19
Q

Is Opioid withdrawal life-threatening?

A

Not usually, but it IS unpleasant

self-limiting to 7-10 days

20
Q

Which of the following meds is the physician most likely to order for a client experiencing ETOH withdrawal?

a) Haloperidol
b) Chlordiazepoxide
c) Methadone
d) Phenytoin

A

b) Chlordiazepoxide

21
Q

Drugs for ETOH Abstinence (ATI)

A

Disulfrium

Naltrexone

Acamprosate

22
Q

What is the most serious form of thiamine deficiency in alcoholics?

A

Wernicke’s Encephalopathy

23
Q

A nurse is planning a staff education program on substance use in older adults. Which of the following is appropriate for the nurse to include?

a) Older adults require higher doses of a substance to achieve its desired effect
b) Older adults commonly use rationalization to cope w/ a substance use disorder
c) Older adults are at a higher risk for substance use following retirement
d) Older adults develop substance use to mask signs of dementia

A

c) Older adults are at a higher risk for substance use following retirement

24
Q

Drugs for Opioid Withdrawal (ATI)

A

Methadone

Clonidine

Buprenorphine

25
Q

How long do ETOH withdrawal symptoms last?

A

start 4-12 hrs and peak after 24-48 hrs, then suddenly disappear

26
Q

A nurse is assessing a client who has ETOH use disorder and is experience withdrawal. Which of the following is an expected finding? (SATA)

a) Bradycardia
b) Fine tremors in both hands
c) Hypotension
d) Vomiting
e) Restlessness

A

b) Fine tremors in both hands
d) Vomiting
e) Restlessness

27
Q

Dan has been admitted to the ETOh rehab unit. Dan’s drinking buddies come for a visit, and when they leave, the nurse smells ETOH on Dan’s breath. Which is the best intervention w/ Dan at this time?

a) Search his room
b) Ask, ‘Have you been drinking Dan?’
c) Send a urine specimen to the lab for drug screening
d) Tell Dan, ‘These guys cannot come to the unit to visit you again’

A

c) Send a urine specimen to the lab for drug screening

28
Q

Symptoms of ETOH withdrawal include:

a) euphoria, hyperactivity, and insomnia
b) depression, suicidal ideation, and hypersomnia
c) diaphoresis, n/v, and tremors
d) unsteady gait, nystagmus, and profound disorientation

A

c) diaphoresis, n/v, and tremors

29
Q

A nurse is planning care for a client who is experiencing Benzo withdrawal. Which of the following is the priority intervention?

a) Orient the client frequently to time, place and person
b) Offer fluids and nourishing diet as tolerated
c) Implement seizure precautions
d) Encourage participation in group therapy sessions

A

c) Implement seizure precautions