ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 17 : Substance Use Disorder Questions
Question 1 of 5
A patient has been taking naltrexone as part of the treatment for addiction to heroin. The nurse expects that the naltrexone will have which therapeutic effect for this patient?
Correct Answer: D
Rationale: Naltrexone blocks opioid receptors, preventing the euphoria associated with heroin use, thus reducing the reinforcing effects of the drug. It does not directly prevent cravings, act as a substitute, or cause severe nausea like disulfiram does with alcohol.
Question 2 of 5
The nurse is presenting a substance-abuse lecture for teenagers and is asked about 'ecstasy.' The nurse recognizes that this is the slang term for which substance?
Correct Answer: D
Rationale: Ecstasy is a common slang term for methylenedioxymethamphetamine (MDM
A), a synthetic amphetamine derivative with stimulant and hallucinogenic properties. The other substances listed have different slang names and effects.
Question 3 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 4 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 5 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.