ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 17 : Substance Use Disorder Questions
Question 1 of 5
A 29-year-old patient is admitted to the intensive care unit with the following symptoms: restlessness, hyperactive reflexes, talkativeness, confusion and periods of panic, and tachycardia. The nurse suspects that he may be experiencing the effects of taking which substance?
Correct Answer: C
Rationale: The symptoms described, such as restlessness, hyperactive reflexes, talkativeness, confusion, panic, and tachycardia, are characteristic of stimulant intoxication (e.g., amphetamines or cocaine). Opioids, alcohol, and depressants typically cause sedation or other distinct effects.
Question 2 of 5
When admitting a patient with a suspected diagnosis of chronic alcohol use, the nurse will keep in mind that chronic use of alcohol might result in which condition?
Correct Answer: C
Rationale: Chronic alcohol use is associated with Korsakoff's psychosis, a neurologic disorder caused by thiamine deficiency, often linked to alcoholism. Renal failure, cerebrovascular accidents, and Alzheimer's disease are not directly caused by chronic alcohol use.
Question 3 of 5
A patient is being treated for ethanol alcohol abuse in a rehabilitation center. The nurse will include which information when teaching him about disulfiram therapy?
Correct Answer: B
Rationale: Disulfiram causes severe adverse reactions when combined with alcohol, including from over-the-counter products like mouthwashes or cough medicines, as even small amounts (e.g., 7 mL) can trigger symptoms. Smoking is not contraindicated, and disulfiram does not mimic alcohol's effects.
Question 4 of 5
The nurse is conducting a smoking-cessation program. Which statement regarding drugs used in cigarette-smoking-cessation programs is true?
Correct Answer: A
Rationale: Rapid chewing of nicotine gum releases an immediate dose of nicotine, providing quick relief from withdrawal symptoms. Transdermal patches provide steady release, not rapid relief, and compliance is higher with patches due to ease of use. Gum use is not limited to six times per day.
Question 5 of 5
A nurse is providing teaching for a patient who will be taking varenicline as part of a smoking-cessation program. Which teaching points are appropriate for a patient taking this medication? (Select all that apply.)
Correct Answer: B,D
Rationale: Varenicline, an oral tablet, can cause drowsiness, requiring caution during activities like driving, and is associated with psychiatric risks like depression or suicidality, necessitating immediate reporting. It is not a gum, has common side effects like nausea and insomnia, and has no specific caffeine restrictions.