Nokea
An unconscious client is admitted to the emergency department after a motor vehicle accident. The client's blood alcohol level upon admission was 1.7. The client's family soon arrives, reporting that the client is an uncle who is visiting from out of town. They cannot give much more history other than that he is a 'social drinker.' After being transported to the unit, the client starts sweating and has elevated vital signs. What information should the nurse request of the family?
- A. Who is the next of kin?
- B. For what occasion is the uncle visiting from out of town?
- C. Does the uncle have a history of any sort of anxiety disorder?
- D. Are there other indications that the client may be a heavy drinker?
Correct Answer: D
Rationale: Sweating and elevated vital signs suggest withdrawal, so confirming heavy drinking history is critical for initiating detoxification, unlike other inquiries.
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A nurse suspects a coworker is signing out narcotics for clients and is using them herself. Which action should be taken by the nurse who has these suspicions?
- A. Ignore suspicions and leave it to the supervisor to intervene.
- B. Report the observations to the supervisor.
- C. Follow behind the coworker to ensure client comfort and safety.
- D. Confront the coworker about suspicions.
Correct Answer: B
Rationale: Reporting to a supervisor fulfills ethical and legal responsibilities, ensuring client safety, unlike ignoring, following, or confronting directly.
A community health nurse is planning a substance abuse prevention program. Which group would be the best target audience for the nurse to plan a program?
- A. Teenagers in a high school health class
- B. School-age children in an after-school program
- C. Parents attending a parent-teacher association meeting
- D. Elementary school teachers and counselors
Correct Answer: B
Rationale: School-age children are ideal for prevention programs as they are at risk but not yet likely addicted, unlike teenagers, parents, or teachers who may need different interventions.
Which statements are important reasons for why the problem of substance abuse must be addressed?
- A. Increasing numbers of infants are suffering the physiologic and emotional consequences of prenatal exposure to alcohol or drugs.
- B. Chemical abuse results in increased violence.
- C. Drug abuse costs business and industry an estimated $102 billion annually.
- D. Alcohol abuse is a too frequent cause of or contributor to death.
- E. Substance abuse is decreasing.
Correct Answer: A,B,C,D
Rationale: Substance abuse causes prenatal harm, violence, economic losses, and death, but it is increasing, not decreasing, making it a critical issue to address.
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.
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.