ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 17 : Substance Use Disorder Questions
Question 1 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.
Question 2 of 5
A patient has been taking disulfiram as part of his rehabilitation therapy. However, this evening, he attended a party and drank half a beer. As a result, he became ill and his friends took him to the emergency department. The nurse will look for which adverse effects associated with acetaldehyde syndrome? (Select all that apply.)
Correct Answer: B,D,E,F
Rationale: Acetaldehyde syndrome, triggered by alcohol consumption while on disulfiram, causes severe vomiting, pulsating headache, difficulty breathing, and sweating due to acetaldehyde buildup. Euphoria and diarrhea are not associated with this syndrome.
Question 3 of 5
The nurse is monitoring a patient who is experiencing severe ethanol withdrawal. Which are signs and symptoms of severe ethanol withdrawal? (Select all that apply.)
Correct Answer: A,C,D,F
Rationale: Severe ethanol withdrawal (delirium tremens) is characterized by agitation, tremors, systolic blood pressure over 160 mm Hg, and pulse over 100 beats/min. Drowsiness is not typical, and while fever may occur, a specific threshold like 100?°F is not universally diagnostic.
Question 4 of 5
A 38-year-old male patient stopped smoking 6 months ago. He tells the nurse that he still feels strong cigarette cravings and wonders if he is ever going to feel 'normal' again. Which statement by the nurse is correct?
Correct Answer: B
Rationale: Cigarette cravings can persist for months or even years after quitting due to nicotine's addictive nature, but they typically lessen over time. The other options are incorrect: cravings do not indicate ongoing nicotine use or impending withdrawal, and while cravings may persist, they are not necessarily permanent.
Question 5 of 5
A patient in a rehabilitation center is beginning to experience opioid withdrawal symptoms. The nurse expects to administer which drug as part of the treatment?
Correct Answer: B
Rationale: Methadone is commonly used to manage opioid withdrawal symptoms by reducing cravings and withdrawal effects due to its long-acting opioid properties. Diazepam and disulfiram are used for alcohol dependence, and bupropion is used for smoking cessation.