Nokea
A client has been admitted to the inpatient unit after using inhalants recently. Which is an antidote to treat inhalant toxicity?
- A. Ativan
- B. Narcan
- C. Antabuse
- D. There is no antidote
Correct Answer: D
Rationale: No specific antidote exists for inhalant toxicity, unlike Ativan, Narcan, or Antabuse, which treat other conditions.
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A nurse is exploring treatment options with a client addicted to heroin. Which information regarding the use of methadone is important for the nurse to include?
- A. Unlike heroin, methadone is nonaddicting.
- B. Methadone will meet the physical need for opiates without producing cravings for more.
- C. Methadone will produce a high similar to heroin.
- D. People taking methadone run the same risks associated with IV drug use as those taking heroin.
Correct Answer: B
Rationale: Methadone satisfies opiate needs without increasing cravings, unlike heroin, but is still addictive, does not produce a high, and avoids IV drug risks.
A client with alcohol dependence is admitted to the hospital with pancreatitis. Which intervention should be included in the client's plan of care?
- A. Fluid restriction of 1000 ml per 24 hours
- B. Glucometer checks b.i.d.
- C. High-protein diet
- D. Protective isolation precautions
Correct Answer: B
Rationale: Pancreatitis from alcohol dependence can elevate glucose levels, necessitating glucometer checks, unlike fluid restriction, high-protein diets, or isolation.
The nurse is coleading a family therapy group for clients and families of drug-addicted individuals. The family of a cocaine addict is angry and cannot understand why the client cannot just stop using. The nurse guides the group to discuss their understanding of the nature of addiction. Which statements would the nurse identify as an accurate understanding of the nature of addiction?
- A. It is a medical illness that is progressive.
- B. The client will eventually be cured.
- C. Relapses and remissions are part of the illness.
- D. Clients can learn to get control over the substance.
Correct Answer: A,C
Rationale: Addiction is a progressive medical illness with relapses and remissions, not curable or controllable through willpower alone.
A client is being discharged on disulfiram (Antabuse). Which instruction for Antabuse should the client receive?
- A. Take disulfiram with food to avoid stomach upset.
- B. Skip the daily dose of disulfiram on days when consumption of alcoholic beverages is likely.
- C. Read products labels carefully to avoid all products containing alcohol.
- D. Disulfiram will prevent the desire to drink alcoholic beverages.
Correct Answer: C
Rationale: Avoiding all alcohol-containing products prevents severe reactions, unlike taking with food, skipping doses, or expecting reduced cravings, which are incorrect.
A client will be taking disulfiram (Antabuse) after discharge from an alcohol treatment program. Which statement would indicate that teaching has been effective?
- A. Antabuse is safe to take with any over-the-counter cold medication.
- B. Antabuse will block my cravings for alcohol, so I'll have less desire to drink.
- C. Drinking alcohol while taking Antabuse can cause dangerous symptoms.
- D. If I drink while taking Antabuse, it will make me vomit before the alcohol affects me.
Correct Answer: C
Rationale: Understanding that Antabuse causes dangerous symptoms with alcohol indicates effective teaching, unlike misconceptions about cravings, vomiting timing, or OTC safety.