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
The client, who has recently stopped smoking, is irritable and complaining of a feeling hungry. The nurse would interpret this as which of the following?
Correct Answer: B
Rationale: Irritability and increased appetite are physical symptoms that occur when a person abruptly stops using an abused substance, such as tobacco. Addiction and dependency are terms that refer to drug-seeking behaviors that interfere with work, relationships, and normal activities.
Tolerance refers to the reduction in a drug's effect that follows persistent use.
Question 2 of 5
A client has a blood alcohol level that is double the legal limit for driving yet does not exhibit behaviors of intoxication. The nurse knows that this is due to which effect?
Correct Answer: A
Rationale:
Tolerance occurs when the body develops mechanisms to reduce the effects of a drug through persistent use. This results in the need to increase the amount of a substance to obtain the desired effect. Addiction is a term that refers to drug-seeking behavior that interferes with work, relationships, and normal activities. Alcoholism is a chronic, progressive disease characterized by an inability to control the consumption of alcohol in which tolerance develops. Relapse is a term referring to the return to drug or alcohol use after a period of abstinence.
Question 3 of 5
Many healthcare providers are screening applicants for tobacco use. Which is the primary reasoning for this new employment practice?
Correct Answer: D
Rationale: According to the CDC (2020), smoking is responsible for 80% to 90% of deaths from lung cancer.
Question 4 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 5 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.