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
Which blood alcohol level (BAL) is associated with coma?
Correct Answer: C
Rationale: A BAL of 400 mg/dL is associated with coma. A BAL of 200 mg/dL is associated with staggering and poor control of emotions. A BAL of 300 mg/dL is associated with mental confusion and stupor. A BAL of 500 mg/dL is associated with respiratory depression and death.
Question 2 of 5
Which stage of tobacco dependence occurs when a person uses tobacco sporadically?
Correct Answer: B
Rationale: The experimentation stage occurs when the client uses tobacco sporadically. The contemplation stage entertains the possibility of using a tobacco product. During the initiation stage, the client uses tobacco for the first time. During the precontemplation stage, the client lacks ideas about personally using tobacco.
Question 3 of 5
Clinical manifestations of methamphetamine use include which of the following?
Correct Answer: C
Rationale: Methamphetamine users may develop acne and be covered with multiple scratched areas because they believe that insects are crawling under their skin. The client will have dry mucous membranes, weight loss, and vasoconstriction of blood vessels.
Question 4 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 5 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.