Nokea
How is a gateway substance defined?
- A. Recreational drug used occasionally
- B. Nonaddictive drug used daily
- C. Drug used to wean from stronger drugs
- D. Substance that can lead to use of stronger drugs
Correct Answer: D
Rationale: A gateway drug is a substance that creates a high that can lead to the use of stronger drugs.
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The nurse working with children from dysfunctional families must be prepared to address what associated problem(s)? (Select all that apply.)
- A. Lack of trust
- B. Acting out
- C. Exaggerated self-confidence
- D. Blaming others for problems
- E. Depression
Correct Answer: A,B,E
Rationale: Children from dysfunctional families exhibit lack of trust, act out, and show signs of depression.
The nurse is assessing a 16-year-old female for characteristics of anorexia nervosa. Which assessment finding(s) would lead the nurse to suspect the possibility of this diagnosis? (Select all that apply.)
- A. Amenorrhea
- B. Severe weight loss
- C. Oily skin
- D. Hypertension
- E. Lanugo on back
Correct Answer: A,B,E
Rationale: Primary symptoms of anorexia nervosa include severe weight loss, amenorrhea, and lanugo hair over the back and extremities.
The school nurse cautions a group of parents about the prevalence of children who get high by inhaling hydrocarbons and fluorocarbons. Which products contain these substances? (Select all that apply.)
- A. Glue
- B. Chlorine
- C. Cleaning fluid
- D. Copy machine toner
- E. Aerosol sprays
Correct Answer: A,C,E
Rationale: The most frequently used products for inhaling hydrocarbons and fluorocarbons are glue, cleaning fluid, and aerosol sprays.
A 9-year-old child has been admitted to the hospital after 'huffing' lighter fluid and is in a high euphoric state. For what should the nurse assess?
- A. Depressed respirations
- B. Severe vomiting
- C. Frightening hallucinations
- D. Elevation of temperature
Correct Answer: A
Rationale: Inhaling hydrocarbons depresses the central nervous system, including respiratory rate and general sensorium.
An adolescent is brought to the emergency department after an automobile accident. When the nurse approaches the adolescent, he becomes combative. The nurse notes his speech is slurred and his gait is ataxic. What does the nurse suspect the adolescent has used?
- A. Alcohol
- B. Cocaine
- C. Amphetamines
- D. PCP
Correct Answer: A
Rationale: Behavioral signs of alcohol ingestion include slurred speech, short attention span, drowsiness, combativeness, and ataxia.