Nokea
A client reports drinking one to two drinks when drinking behavior first began. Now the client reports drinking at least six drinks with every episode in order to have a good time. Which term would best describe this phenomenon?
- A. Dependence
- B. Intoxication
- C. Tolerance
- D. Withdrawal
Correct Answer: C
Rationale: Tolerance describes needing more alcohol to achieve the same effect, unlike intoxication (maladaptive behavior), withdrawal (symptoms upon cessation), or dependence (addiction with multiple symptoms).
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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.
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.
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 nurse is working with a couple seeking counseling for marital discord. The history indicates the husband was treated for substance abuse 4 years ago and attends AA meetings occasionally. Which statement made by the recovering husband should alert the nurse for the need for further education?
- A. I still need to go to AA meetings even though I have been sober for years.
- B. After all these years, I just don't have the will power to stop if I started using again.
- C. She gets upset when I hang out with my old buddies on the weekends.
- D. I wish I could be able to handle just one beer with dinner.
Correct Answer: D
Rationale: Wishing to drink socially indicates a misconception about addiction, risking relapse, unlike recognizing the need for AA or avoiding old friends.
A client is admitted for a drug overdose with a Barbiturate. Which is the priority nursing action when planning care for this client?
- A. Check the client's belongings for additional drugs.
- B. Pad the side rails of the bed because seizures are likely.
- C. Prepare a dose of ipecac, an emetic.
- D. Monitor respiratory function.
Correct Answer: D
Rationale: Barbiturate overdose depresses respiratory function, making monitoring the priority to ensure safety, over checking belongings, padding rails, or using ipecac.