NURS 2872 Unit 4 Test With
Complete Solution
A young adult has heavily abused alcohol and prescription drugs since
mid-adolescence. This individual now has an ataxic gait and uses a cane.
Which comment by the nurse presents reality while demonstrating
compassion?
a. "I know you must feel self-conscious about using a cane at your age, but it
will help prevent falls."
b. "Addiction is a fatal disease. If you continue to drink like you have done in
past, you will not live another 10 years."
c. "It's time to face your addiction. You are disappointing your family and
must stop drinking for the sake of the people who love you."
d. "Addiction is powerful. You are young yet cannot walk without a cane. If
you don't make changes, your health will continue to suffer." - ANSWER d.
"Addiction is powerful. You are young yet cannot walk without a cane. If you
don't make changes, your health will continue to suffer."
The correct response recognizes the power of addiction but presents the
reality of the consequences of continued use.
The nurse at a local medical clinic reviews phoned-in requests from patients
for prescription refills. As the nurse confers with the health care provider
about which prescription refill requests should be authorized, which refill
request should be considered first?
,a. Codeine 10 mg PO q4h PRN for an adult with a persistent cough
b. Hydroxyzine (Vistaril) 25 mg PO TID PRN for an adult who experiences
uncomfortable muscle spasms
c. Lorazepam (Ativan) 1 mg PO BID for an adult who has taken it daily for 3
years for episodes of anxiety
d. Paregoric (camphorated tincture of opium) 2 mg PO q6h PRN for an adult
experiencing severe diarrhea - ANSWER c. Lorazepam (Ativan) 1 mg PO BID
for an adult who has taken it daily for 3 years for episodes of anxiety
Lorazepam is a benzodiazepine. Sudden withdrawal from this class of
medications has medical complications, including the possibility of death;
hence this refill request has priority.
A patient tells the nurse, "After many years, I finally quit smoking. Now I use
e-cigarettes only." Which response should the nurse provide?
a. "Using e-cigarettes is now more socially acceptable than using traditional
cigarettes."
b. "Congratulations on quitting, but e-cigarettes contain nicotine and other
hazardous chemicals."
c. "Nicotine is a powerful addiction. Quitting smoking is a big step toward
adopting a healthier lifestyle."
d. "I am glad you have quit smoking. Your loved ones will no longer be
exposed to the hazards of secondhand smoke." - ANSWER b.
"Congratulations on quitting, but e-cigarettes contain nicotine and other
hazardous chemicals."
, The nurse should educate the patient. E-cigarettes are advertised as safe;
however, they contain nicotine as well as other hazardous chemicals.
A young adult tells the nurse, "I have a new prescription for medical
marijuana. I use it several times a day for my frequent muscle spasms." What
information should the nurse provide first to this patient?
a. Guidance that the prescription should not be shared with peers
b. Directions to weigh self once a week and maintain a log of the results
c. Instructions about safety issues associated with driving or operating
machinery
d. Information about the potential for amotivational syndrome and memory
problems - ANSWER c. Instructions about safety issues associated with
driving or operating machinery
All of the options are correct, but safety is the nurse's first concern.
Marijuana is a psychoactive substance. Effects include euphoria, sedation,
perceptual distortions, and hallucinations; therefore driving or operating
machinery may be hazardous.
A nurse teaches a patient diagnosed with an alcohol addiction about a new
prescription for naltrexone (ReVia, Vivitrol). Which comment by the patient
indicates the teaching was effective?
a. "This medicine will stop my cravings for alcohol."
b. "I should take this medication only when I feel cravings to drink alcohol."
c. "This medicine is one part of a bigger treatment plan to help me stay
sober."
Complete Solution
A young adult has heavily abused alcohol and prescription drugs since
mid-adolescence. This individual now has an ataxic gait and uses a cane.
Which comment by the nurse presents reality while demonstrating
compassion?
a. "I know you must feel self-conscious about using a cane at your age, but it
will help prevent falls."
b. "Addiction is a fatal disease. If you continue to drink like you have done in
past, you will not live another 10 years."
c. "It's time to face your addiction. You are disappointing your family and
must stop drinking for the sake of the people who love you."
d. "Addiction is powerful. You are young yet cannot walk without a cane. If
you don't make changes, your health will continue to suffer." - ANSWER d.
"Addiction is powerful. You are young yet cannot walk without a cane. If you
don't make changes, your health will continue to suffer."
The correct response recognizes the power of addiction but presents the
reality of the consequences of continued use.
The nurse at a local medical clinic reviews phoned-in requests from patients
for prescription refills. As the nurse confers with the health care provider
about which prescription refill requests should be authorized, which refill
request should be considered first?
,a. Codeine 10 mg PO q4h PRN for an adult with a persistent cough
b. Hydroxyzine (Vistaril) 25 mg PO TID PRN for an adult who experiences
uncomfortable muscle spasms
c. Lorazepam (Ativan) 1 mg PO BID for an adult who has taken it daily for 3
years for episodes of anxiety
d. Paregoric (camphorated tincture of opium) 2 mg PO q6h PRN for an adult
experiencing severe diarrhea - ANSWER c. Lorazepam (Ativan) 1 mg PO BID
for an adult who has taken it daily for 3 years for episodes of anxiety
Lorazepam is a benzodiazepine. Sudden withdrawal from this class of
medications has medical complications, including the possibility of death;
hence this refill request has priority.
A patient tells the nurse, "After many years, I finally quit smoking. Now I use
e-cigarettes only." Which response should the nurse provide?
a. "Using e-cigarettes is now more socially acceptable than using traditional
cigarettes."
b. "Congratulations on quitting, but e-cigarettes contain nicotine and other
hazardous chemicals."
c. "Nicotine is a powerful addiction. Quitting smoking is a big step toward
adopting a healthier lifestyle."
d. "I am glad you have quit smoking. Your loved ones will no longer be
exposed to the hazards of secondhand smoke." - ANSWER b.
"Congratulations on quitting, but e-cigarettes contain nicotine and other
hazardous chemicals."
, The nurse should educate the patient. E-cigarettes are advertised as safe;
however, they contain nicotine as well as other hazardous chemicals.
A young adult tells the nurse, "I have a new prescription for medical
marijuana. I use it several times a day for my frequent muscle spasms." What
information should the nurse provide first to this patient?
a. Guidance that the prescription should not be shared with peers
b. Directions to weigh self once a week and maintain a log of the results
c. Instructions about safety issues associated with driving or operating
machinery
d. Information about the potential for amotivational syndrome and memory
problems - ANSWER c. Instructions about safety issues associated with
driving or operating machinery
All of the options are correct, but safety is the nurse's first concern.
Marijuana is a psychoactive substance. Effects include euphoria, sedation,
perceptual distortions, and hallucinations; therefore driving or operating
machinery may be hazardous.
A nurse teaches a patient diagnosed with an alcohol addiction about a new
prescription for naltrexone (ReVia, Vivitrol). Which comment by the patient
indicates the teaching was effective?
a. "This medicine will stop my cravings for alcohol."
b. "I should take this medication only when I feel cravings to drink alcohol."
c. "This medicine is one part of a bigger treatment plan to help me stay
sober."
