,⩥ A nurse is caring for a client who is hospitalized for gallbladder
removal surgery. On their first postoperative day, the client has agitation,
a high temperature, increased, respirations, irritability, and confusion.
The nurse should recognize that the client may be experiencing
withdrawal from which of the following substances?
a. Hallucinogens
b. Alcohol
c. Heroin
d. Stimulants. Answer: b. Alcohol
⩥ A nurse is working with the provider to determine which laboratory
test should be ordered for a client who is suspected of chronic alcohol
use. The nurse should identify that which of the following sets of
laboratory data might indicate chronic alcohol use?
a. BNP, cardiac enzymes, alkaline phosphatase
b. CBC, WBC, neutrophils, platelets
c. Liver panel, compressive metabolic panel, BAL/BAC, magnesium
d. Blood glucose level, T3, T4, TSH. Answer: c. Liver panel,
compressive metabolic panel, BAL/BAC, magnesium
⩥ A nurse manager is reviewing reports of a staff nurse. The reports
indicate that the staff nurse has had an increase in being late and calling
out sick more often. The staff nurse has been experiencing mood swings
,that have made it difficult for other nurses to work with them. Which of
the following could also indicate that the staff nurse might be using
substances?
a. Volunteering to serve on the crisis and disaster preparedness team as
the triage and medication nurse
b. Volunteering to serve on the pharmacy error prevention commitee
c. Volunteering to give all the narcotics doses to clients for the shift
d. Volunteering to reorganize the nursing station and medication room.
Answer: c. Volunteering to give all the narcotics doses to clients for
the shift
⩥ A nurse is meeting with a new client at a substance use disorder clinic.
During the meeting, the nurse learns from the client that they were
treated for both asthma and anxiety as a child. The nurse is collecting
which of the following types of data from the clients account?
a. Historical
b. Secondary
c. Subjective
d. Objective. Answer: a. Historical
⩥ A nurse is caring for a client who was hospitalized with a high blood
alcohol content level. The provider fears that the client may go into
withdrawal and require medical supervision. The clients manifestations
, now include anxiety, tremors, BP 166/100 mm Hg, and tachypnea. The
nurse should recognize that the client is experiencing which of the
following stages of withdrawal from alcohol?
a. Stage 1 (mild)
b. Stage 2 (moderate)
c. Stage 0 (pre-withdrawal)
d. Stage 3 (severe). Answer: b. Stage 2 (moderate)
⩥ A nurse should identify that which of the following factors is a
protective factor that prevents younger people from developing
addiction?
a. Positive relationships
b. Married parents
c. Living in the Midwest population of the U.S.
d. Participating in team sports. Answer: a. Positive relationships
⩥ A nurse is discussing common misconceptions regarding patients who
have substance use disorder. The nurse should include which of the
following as a possible consequence of a client being labeled by
providers as drug seeking?
a. The client may realize that their behavior is inappropriate
removal surgery. On their first postoperative day, the client has agitation,
a high temperature, increased, respirations, irritability, and confusion.
The nurse should recognize that the client may be experiencing
withdrawal from which of the following substances?
a. Hallucinogens
b. Alcohol
c. Heroin
d. Stimulants. Answer: b. Alcohol
⩥ A nurse is working with the provider to determine which laboratory
test should be ordered for a client who is suspected of chronic alcohol
use. The nurse should identify that which of the following sets of
laboratory data might indicate chronic alcohol use?
a. BNP, cardiac enzymes, alkaline phosphatase
b. CBC, WBC, neutrophils, platelets
c. Liver panel, compressive metabolic panel, BAL/BAC, magnesium
d. Blood glucose level, T3, T4, TSH. Answer: c. Liver panel,
compressive metabolic panel, BAL/BAC, magnesium
⩥ A nurse manager is reviewing reports of a staff nurse. The reports
indicate that the staff nurse has had an increase in being late and calling
out sick more often. The staff nurse has been experiencing mood swings
,that have made it difficult for other nurses to work with them. Which of
the following could also indicate that the staff nurse might be using
substances?
a. Volunteering to serve on the crisis and disaster preparedness team as
the triage and medication nurse
b. Volunteering to serve on the pharmacy error prevention commitee
c. Volunteering to give all the narcotics doses to clients for the shift
d. Volunteering to reorganize the nursing station and medication room.
Answer: c. Volunteering to give all the narcotics doses to clients for
the shift
⩥ A nurse is meeting with a new client at a substance use disorder clinic.
During the meeting, the nurse learns from the client that they were
treated for both asthma and anxiety as a child. The nurse is collecting
which of the following types of data from the clients account?
a. Historical
b. Secondary
c. Subjective
d. Objective. Answer: a. Historical
⩥ A nurse is caring for a client who was hospitalized with a high blood
alcohol content level. The provider fears that the client may go into
withdrawal and require medical supervision. The clients manifestations
, now include anxiety, tremors, BP 166/100 mm Hg, and tachypnea. The
nurse should recognize that the client is experiencing which of the
following stages of withdrawal from alcohol?
a. Stage 1 (mild)
b. Stage 2 (moderate)
c. Stage 0 (pre-withdrawal)
d. Stage 3 (severe). Answer: b. Stage 2 (moderate)
⩥ A nurse should identify that which of the following factors is a
protective factor that prevents younger people from developing
addiction?
a. Positive relationships
b. Married parents
c. Living in the Midwest population of the U.S.
d. Participating in team sports. Answer: a. Positive relationships
⩥ A nurse is discussing common misconceptions regarding patients who
have substance use disorder. The nurse should include which of the
following as a possible consequence of a client being labeled by
providers as drug seeking?
a. The client may realize that their behavior is inappropriate
