ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 71 Questions
Question 1 of 5
Which assessment finding is most important in determining nursing care of a client withdrawing from cocaine?
Correct Answer: A
Rationale: Depression and dysphoria are of concern during recovery from cocaine addiction. Monitoring the client for suicidal ideation and administering medications that provide support during withdrawal are essential nursing interventions. Weight loss and nutritional deficits are common among cocaine addiction but not the primary concern. Facial burns (fire, debasing) and perforated septum (from snorting) are common problems associated with cocaine addiction.
Question 2 of 5
Disulfiram is prescribed for a client recovering from alcohol dependency. What is the primary reason for prescribing this drug?
Correct Answer: C
Rationale: The ingestion of alcohol while taking disulfiram will result in uncomfortable symptoms. Disulfiram does not protect the liver. Disulfiram deters drinking but does not prevent the ingestion of alcohol.
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 has successfully completed detox and is ready for discharge home. What is the primary reason the nurse refers the client to Alcoholics Anonymous (AA)?
Correct Answer: B
Rationale: Alcoholism is a lifelong addiction that must be managed on an hourly/daily/weekly basis because the client is powerless over alcohol. AA emphasizes personal accountability while providing support from those who have walked in the same shoes as the client. Relapse is a common setback among recovering individuals, and AA provides encouragement to work the program of success that is alcohol and drug free.
Question 5 of 5
The nurse is discussing the effects of secondhand smoking with a group of new mothers. What information is most important for the nurse to include?
Correct Answer: B
Rationale: Children with asthma have a greater frequency and more severe attacks when exposed to secondhand smoke. New mothers who smoked during pregnancy need to know their infants are at increased risk of sudden infant death syndrome. Higher incidence of lung cancer, fractures, and coronary heart disease are all consequences of smoking but not specific to new mothers or their infants.