Chapter 71: Caring for Clients With Substance Use Disorders - Nurselytic

Correct Answer: D

Rationale: The nurse should instruct the client who takes methadone to tell healthcare providers or wear a MedicAlert tag in case the client needs a narcotic, tranquilizer, or barbiturate. Because methadone is a narcotic, lower dosages of other sedative drugs are necessary because the combination may potentiate their depressant action. It is not essential for client to avoid driving or to maintain bed rest after medication. Vitamin substitutes may not be required.

Correct Answer: B

Rationale: The assessment findings in a client with opiate use are pinpoint-sized pupils, constipation, weight loss, and anorexia. Diarrhea, weight gain, and bulimia are not the assessment findings observed in a client with opiate dependency.

Correct Answer: B

Rationale:
Tolerance refers to the reduction in a drug's effect that follows persistent use. Addiction is drug-seeking behaviors that interfere with work, relationships, and normal activities. Withdrawal refers to the physical symptoms and craving for a drug that occur when a person abruptly stops using an abused substance. Dependence means that a person must take a drug to avoid withdrawal symptoms.

Correct Answer: C

Rationale: Alcoholism may be difficult to identify in older adults because symptoms such as tremors, unsteady gait, or memory loss mimic changes associated with aging. Older adults who drink exhibit more impairment. Older adults have a slower metabolism. Dementia may be associated with heavy ingestion of alcohol for 10 or more years, or with ingestion of other toxic substances, including heavy metals.

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.