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Upon admission of a client to the detox unit, the nurse administers lorazepam (Ativan). The client asks, 'How long will I get these drugs?' Which is the best understanding by the nurse?
- A. The drugs will be given routinely until detox is completed.
- B. Because Ativan has potential addictive qualities, it will be stopped after 24 hours.
- C. High doses may be required initially but then will be tapered and stopped.
- D. The physician will decide the dosage and reorder every third day.
Correct Answer: C
Rationale: Ativan is used to control withdrawal symptoms. Initially, the medication may need to be administered frequently and in high doses to compensate for the client's cross-tolerance and then tapered and discontinued. Ativan is a controlled substance and should not be prescribed for long-term use. The physician establishes the order for the administration of all medications during the detoxification of clients.
You may also like to solve these questions
Which stage of tobacco dependence occurs when a person uses tobacco sporadically?
- A. Contemplation
- B. Experimentation
- C. Initiation
- D. Precontemplation
Correct Answer: B
Rationale: The experimentation stage occurs when the client uses tobacco sporadically. The contemplation stage entertains the possibility of using a tobacco product. During the initiation stage, the client uses tobacco for the first time. During the precontemplation stage, the client lacks ideas about personally using tobacco.
What assessment finding(s) is most important in determining the presence of alcohol dependency in a client? Select all that apply.
- A. Patterns of use
- B. Weight loss
- C. Fluctuation in appetite
- D. Absenteeism from work
- E. Blurred vision
- F. Blackouts
Correct Answer: A,D,F
Rationale: People who are dependent on alcohol are driven by the pattern of use and how or when to obtain alcohol. They begin drinking earlier in the day and create opportunities to drink. Loss of work hours, especially on Mondays, becomes a pattern. Blackouts or loss of episodes of time can occur in the early and later stages of the abuse. Weight loss and fluctuation in appetite may be associated with alcohol use disorder but is not a determining factor. Blurred vision is not significant in the assessment of the disorder.
The client who is experiencing alcohol withdrawal has a temperature of 100.6?°F, pulse of 112 beats/minute, and BP 180/102 mm Hg. What would the nurse anticipate doing first?
- A. Encourage the client to rest.
- B. Administer benzodiazepine as ordered.
- C. Monitor for any further changes.
- D. Provide emotional support.
Correct Answer: B
Rationale: The standardized symptom withdrawal flow sheet, Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar) as well as the Rule of One Hundreds are indicators of escalating withdrawal. The rise in these vital signs suggests the need for sedative medication. Monitoring hourly vital signs and further changes would be appropriate. Rest and emotional support can be helpful.
Which is the best nursing intervention to prevent a potential depressant action of methadone caused by mixing with another drug?
- A. Urine testing
- B. Provide only liquid form of methadone.
- C. Interview client prior to dosing.
- D. Assess vital signs.
Correct Answer: A
Rationale: The practice of testing the urine before providing methadone is one way of screening and eliminating those who are abusing the system and trying to potentiate the effects of the methadone by combining with another depressant. The methadone should be administered by a professional and supplied in a liquid form to avoid cheeking of the drug. Addictive clients are drug-seeking in nature and cannot be trusted to always be honest with drug use questioning and answers. Vital sign monitoring is not significant in the detection of alternate drug use.
Many healthcare providers are screening applicants for tobacco use. Which is the primary reasoning for this new employment practice?
- A. Clients should not be exposed to the odor of tobacco.
- B. Nurses should be a role model to the clients served.
- C. Shooters take more breaks during the work day.
- D. Nicotine contributes to fatal illnesses.
Correct Answer: D
Rationale: According to the CDC (2020), smoking is responsible for 80% to 90% of deaths from lung cancer.