Nokea
A pregnant adolescent tells the nurse that she 'only drinks a little.' How many drinks per day can cause an adverse effect in an infant?
- A. One drink a day
- B. Two drinks a day
- C. Three drinks a day
- D. Four drinks a day
Correct Answer: B
Rationale: As few as two drinks per day may cause adverse effects in an infant.
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What should the nurse do when suspecting a coworker of abusing drugs while at work?
- A. Confront the abuser.
- B. Report observations to a supervisor.
- C. Call the state board of nursing.
- D. Discuss the problem with another coworker.
Correct Answer: B
Rationale: The nurse's observations should be reported objectively, preferably in writing, to the supervisor.
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.
During the detoxification period, what does the nurse aim to achieve when designing interventions?
- A. Enroll the patient in Alcoholics Anonymous (AA).
- B. Keep the patient safe from aspiration and seizure.
- C. Help the patient interact in nonaddictive activities.
- D. Help the patient gain insight into the addiction.
Correct Answer: B
Rationale: Care for the addicted patient starts with detoxification and is focused on keeping the patient safe from the symptoms of withdrawal. Enrolling the patient in AA, helping the patient interact in nonaddictive activities, and helping the patient gain insight into the addiction would be part of the rehabilitation process.
What stage of dependence is described by a patient when he tells the nurse that he has tried to stop his drug habit, but he does not feel 'normal' without it?
- A. Early
- B. Prodromal
- C. Middle
- D. Late
Correct Answer: C
Rationale: In the middle stage, the user shows signs of withdrawal with abstinence and must use the drug to feel normal.
A 22-year-old patient presents in the emergency department with the characteristics of severe Parkinson disease. The nurse should suspect an overdose of what drug?
- A. Marijuana
- B. Cocaine
- C. Amphetamines
- D. Valium
Correct Answer: C
Rationale: Over time, dopamine depletion in the brain can cause Parkinson-like symptoms to occur in people who abuse amphetamines.