ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 71 : Caring for Clients With Substance Use Disorders Questions
Question 1 of 5
A client states, 'My father was an alcoholic so I am destined to be one too.' Which is the best response by the nurse?
Correct Answer: D
Rationale: Even with a possible genetic link to alcoholism, the individual remains in control of taking the first drink that triggers the metabolism of alcohol to THIQ. Every person is responsible for his or her own destiny and should receive encouragement to exercise that control. Children of alcoholics (CO
A) do have a greater likelihood of developing alcohol dependency. The only prevention of the trait of alcoholism is abstinence.
Question 2 of 5
The client who reports drinking half a case of beer each day is admitted for detoxification. Which answer explains the onset of withdrawal symptoms 4 hours after last reported drink?
Correct Answer: B
Rationale: Alcohol withdrawal usually begins 6 hours after last drink. This client has incorrectly reported the time of last use. The withdrawal process from alcohol usually takes about 48 hours or more.
Question 3 of 5
Upon admission of a client to the detox unit, the nurse administers lorazepam (Ativan). The client asks, 'How long will I get these drugs?' Which is the best understanding by the nurse?
Correct Answer: C
Rationale: Ativan is used to control withdrawal symptoms. Initially, the medication may need to be administered frequently and in high doses to compensate for the client's cross-tolerance and then tapered and discontinued. Ativan is a controlled substance and should not be prescribed for long-term use. The physician establishes the order for the administration of all medications during the detoxification of clients.
Question 4 of 5
Disulfiram is prescribed for a client recovering from alcohol dependency. What is the primary reason for prescribing this drug?
Correct Answer: C
Rationale: The ingestion of alcohol while taking disulfiram will result in uncomfortable symptoms. Disulfiram does not protect the liver. Disulfiram deters drinking but does not prevent the ingestion of alcohol.
Question 5 of 5
The nurse is discussing the effects of secondhand smoking with a group of new mothers. What information is most important for the nurse to include?
Correct Answer: B
Rationale: Children with asthma have a greater frequency and more severe attacks when exposed to secondhand smoke. New mothers who smoked during pregnancy need to know their infants are at increased risk of sudden infant death syndrome. Higher incidence of lung cancer, fractures, and coronary heart disease are all consequences of smoking but not specific to new mothers or their infants.