Nokea
A college student has brought his hallucinating roommate to the college clinic. The young man says his roommate has been experimenting with phencyclidine (PCP). How long should the nurse expect the hallucinations to last?
- A. 30 to 60 minutes
- B. 1 to 4 hours
- C. 4 to 6 hours
- D. 6 to 12 hours
Correct Answer: D
Rationale: Some hallucinogenic effects of PCP can last 6 to 12 hours.
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The mother of a young woman being treated for amphetamine overdose asks the nurse when the manifestations will subside. What would be the most correct answer by the nurse?
- A. Usually in 8 to 10 hours.
- B. She will snap out of it in a day or two.
- C. Usually in about 2 hours, but the effects will return in 2 to 3 days.
- D. The manifestations may be permanent.
Correct Answer: D
Rationale: The manifestations of overdose of amphetamines are frequently permanent.
When assessing an alcoholic patient, the nurse notes short-term memory loss, painful extremities, foot drop, and muttered incoherent responses to questions. The nurse recognizes these symptoms as most likely related to a condition caused by long-term alcohol abuse, which is known as syndrome.
Correct Answer: Korsakoff
Rationale: Korsakoff syndrome is a permanent condition caused by long-term alcohol use. The patient mutters incoherently and experiences short-term memory loss, painful extremities, and foot drop.
The nurse reminds a group of high school students that most states have laws limiting blood alcohol levels of drivers. What is the legal blood alcohol serum level in most states?
- A. 0.08%
- B. 0.20%
- C. 0.40%
- D. 0.50%
Correct Answer: A
Rationale: Most states designate blood alcohol serum levels of 0.08% as the legal limit for driving a motor vehicle.
Which statement describes the impaired nurse who is in a peer assistance program?
- A. The nurse has a revoked nursing license.
- B. The nurse does not have to notify her employer.
- C. The nurse will be allowed to work as a nurse under supervision.
- D. The nurse will be reported to the Healthcare Integrity and Protection Data Bank.
Correct Answer: C
Rationale: The peer assistance program allows the nurse to retain licensure and continue to work under supervision, although possibly in an area where access to controlled drugs is difficult. It is necessary for the employer to have information regarding the peer assistance assignment. Action is not reported to the Healthcare Integrity and Protection Data Bank until final adverse actions are taken, allowing the nurse to complete the peer assistance program.
What severe side effect will occur if an alcoholic patient consumes alcohol while taking disulfiram (Antabuse)?
- A. Nausea
- B. Blackouts
- C. Headaches
- D. Hypertension
Correct Answer: A
Rationale: When a person who is taking Antabuse consumes alcohol, severe nausea, tachycardia, shortness of breath, confusion, and dizziness are experienced. The drug is used as a form of aversion therapy.