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
When discussing the purpose of beginning methadone therapy for opioid addiction, which statement by the nurse is most appropriate?
Correct Answer: D
Rationale: The purpose of using methadone in the management of opioid addicts remains controversial. Methadone has a longer half-life and can be given as a once daily dose. Methadone is safer than heroin and allows the client to work, live, and function normally because less time is spent on drug-seeking behaviors and unsafe drug practices. Methadone is a schedule II synthetic opioid analgesic and has dependency and withdrawal capabilities. The use of methadone does not take away desires for narcotics and urine testing should be routinely completed to deter combined use.
Question 2 of 5
What assessment finding(s) is most important in determining the presence of alcohol dependency in a client? Select all that apply.
Correct Answer: A,D,F
Rationale: People who are dependent on alcohol are driven by the pattern of use and how or when to obtain alcohol. They begin drinking earlier in the day and create opportunities to drink. Loss of work hours, especially on Mondays, becomes a pattern. Blackouts or loss of episodes of time can occur in the early and later stages of the abuse. Weight loss and fluctuation in appetite may be associated with alcohol use disorder but is not a determining factor. Blurred vision is not significant in the assessment of the disorder.
Question 3 of 5
Which of the following instructions should a nurse give to clients with opiate dependency who take methadone?
Correct Answer: D
Rationale: The nurse should instruct the client who takes methadone to tell healthcare providers or wear a MedicAlert tag in case the client needs a narcotic, tranquilizer, or barbiturate. Because methadone is a narcotic, lower dosages of other sedative drugs are necessary because the combination may potentiate their depressant action. It is not essential for client to avoid driving or to maintain bed rest after medication. Vitamin substitutes may not be required.
Question 4 of 5
Which of the following assessment findings is observed in a client with opiate use?
Correct Answer: B
Rationale: The assessment findings in a client with opiate use are pinpoint-sized pupils, constipation, weight loss, and anorexia. Diarrhea, weight gain, and bulimia are not the assessment findings observed in a client with opiate dependency.
Question 5 of 5
Which of the following refers to the reduction in a drug's effect that follows persistent use?
Correct Answer: B
Rationale:
Tolerance refers to the reduction in a drug's effect that follows persistent use. Addiction is drug-seeking behaviors that interfere with work, relationships, and normal activities. Withdrawal refers to the physical symptoms and craving for a drug that occur when a person abruptly stops using an abused substance. Dependence means that a person must take a drug to avoid withdrawal symptoms.