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When a patient is admitted with an overdose of an opioid narcotic, the nurse should anticipate an order for which drug to reverse the effects of the narcotic?
- A. Clonidine
- B. Narcan
- C. Orlaam
- D. Methadone
Correct Answer: B
Rationale: Opioid overdose treatment involves administering Narcan as prescribed to reverse the effects of the narcotic.
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The nurse concludes that a significant goal of the care plan for an alcoholic patient has been met when the patient makes which statement?
- A. I drink because I'm lonely.
- B. All my difficulties are related to my drinking.
- C. I wouldn't need to drink if I had my family back.
- D. My drinking helps me cope with the stress of my job.
Correct Answer: B
Rationale: A major goal for the successful treatment of alcoholics is to have them express responsibility for their behavior.
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.
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.
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.
The nurse reminds a group of high school students that most states have laws limiting blood alcohol levels of drivers. What is the legal blood alcohol serum level in most states?
- A. 0.08%
- B. 0.20%
- C. 0.40%
- D. 0.50%
Correct Answer: A
Rationale: Most states designate blood alcohol serum levels of 0.08% as the legal limit for driving a motor vehicle.