Nokea
What should the nurse do to decrease the damage of bruxism seen in a patient who has been abusing the drug ecstasy?
- A. Turn the patient to his right side.
- B. Elevate the head of the bed 30 degrees.
- C. Provide the patient with a pacifier.
- D. Administer a muscle relaxant.
Correct Answer: C
Rationale: The use of an infant pacifier will reduce the damage to the teeth for a patient who is manifesting bruxism (grinding of the teeth).
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What is the greatest problem with lysergic acid diethylamide (LSD) use?
- A. The drug is addictive.
- B. The drug stimulates drug-seeking behavior.
- C. The drug causes flashbacks.
- D. The drug sets off hypertensive episodes.
Correct Answer: C
Rationale: LSD causes flashbacks, or 'bad trips,' unpredictably, and the flashbacks may occur years after ingestion of the drug. LSD is not considered an addictive drug and does not stimulate drug-seeking behavior. Hypertension is not a typical side effect of LSD.
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.
The nurse should assess a patient for which criteria of addiction?
- A. Excessive use of the substance
- B. Increase in social function
- C. Uncontrollable consumption
- D. Increase in economic function
- E. Psychological disturbances
Correct Answer: A,C,E
Rationale: Criteria for addiction include excessive use of the substance, a decrease in social function, uncontrollable consumption, a decrease in economic function, and psychological disturbances.
What age of onset of alcohol consumption is most predictive of alcohol addiction?
- A. 8 or younger
- B. 10 or younger
- C. 12 or younger
- D. 14 or younger
Correct Answer: D
Rationale: Forty-four percent of those who start drinking at the age of 14 or younger will develop alcoholism.
The nurse is performing an initial assessment on an alcoholic patient. Which of the following actions by the nurse would best ensure honest answers?
- A. Not asking personal questions
- B. Having a nonjudgmental attitude
- C. Including the family
- D. Promising the patient not to tell anyone
Correct Answer: B
Rationale: Maintaining a nonjudgmental attitude may reassure the patient and allow him to be more honest in his responses to the admission assessment.