NR 451 WEEK 5 ICARE PAPER ACTUAL
QUESTIONS AND VERIFIED ANSWERS EXAM
PREP
◉ The nurse is caring for a client admitted for treatment of opioid
addiction. Which clinical manifestations should the nurse recognize as
consistent with opioid detoxification and withdrawal? Select all that
apply. Answer: Insomnia
Abdominal Cramping
Diaphoresis
Tachycardia
◉ The nurse is caring for a stable client who drove into a tree and
sustained superficial facial lacerations. The client's partner states the
client takes prescribed painkillers for chronic back pain. The client
demands pain medication continuously from the nurses. Which client
behaviors should the nurse recognize as consistent with excessive
substance use? Select all that apply. Answer: Has pinpoint pupils
Does not remember where they were going before the accident
Sustained a work injury last week
Express agitation
, ◉ The nurse is conducting discharge education for a client who is
prescribed long-acting naltrexone. For each client statement, click to
specify if it indicates understanding or further education is needed.
Answer: Understanding:
- "This medication may cause nausea, vomiting, or diarrhea."
- "This medication is injected into the muscle once per month."
- "This medication blocks the rewarding effects of opiates."
Further Education Needed:
- "I can drive normally while taking this medication."
- "I should take this medication every day at the same time."
◉ The nurse is caring for an adult client admitted to an inpatient
rehabilitation for alcohol dependence. The client's last drink was 12
hours ago. The client presents with tremors, headache, diaphoresis,
and palpitations. The client is most likely experiencing... Answer:
minor withdrawal
◉ The nurse is caring for a client withdrawing from alcohol. For each
nursing action, click to specify if it is indicated or not indicated for
the care of this client. Answer: Indicated:
- Initiate seizure precautions.
- Provide a quiet, non-stimulating environment.
- Provide small, frequent meals.
QUESTIONS AND VERIFIED ANSWERS EXAM
PREP
◉ The nurse is caring for a client admitted for treatment of opioid
addiction. Which clinical manifestations should the nurse recognize as
consistent with opioid detoxification and withdrawal? Select all that
apply. Answer: Insomnia
Abdominal Cramping
Diaphoresis
Tachycardia
◉ The nurse is caring for a stable client who drove into a tree and
sustained superficial facial lacerations. The client's partner states the
client takes prescribed painkillers for chronic back pain. The client
demands pain medication continuously from the nurses. Which client
behaviors should the nurse recognize as consistent with excessive
substance use? Select all that apply. Answer: Has pinpoint pupils
Does not remember where they were going before the accident
Sustained a work injury last week
Express agitation
, ◉ The nurse is conducting discharge education for a client who is
prescribed long-acting naltrexone. For each client statement, click to
specify if it indicates understanding or further education is needed.
Answer: Understanding:
- "This medication may cause nausea, vomiting, or diarrhea."
- "This medication is injected into the muscle once per month."
- "This medication blocks the rewarding effects of opiates."
Further Education Needed:
- "I can drive normally while taking this medication."
- "I should take this medication every day at the same time."
◉ The nurse is caring for an adult client admitted to an inpatient
rehabilitation for alcohol dependence. The client's last drink was 12
hours ago. The client presents with tremors, headache, diaphoresis,
and palpitations. The client is most likely experiencing... Answer:
minor withdrawal
◉ The nurse is caring for a client withdrawing from alcohol. For each
nursing action, click to specify if it is indicated or not indicated for
the care of this client. Answer: Indicated:
- Initiate seizure precautions.
- Provide a quiet, non-stimulating environment.
- Provide small, frequent meals.
