NUR 350 EXAM 3 QUESTIONS WITH 100%
CORRECT ANSWERS
what happens when a patient enters treatment for alcohol addiction?
alcohol ingestion is immediately stopped and detoxification begins
alcohol withdrawal syndrome
increased HR and BP, diaphoresis, mild anxiety, restlessness, and hand tremors, nausea,
anorexia, irritable, fever,
-begin within 12 hours after discontinuation or attempt to decrease consumption
severity of withdrawal ranges from...
mild to severe; depends on the length and amount of alcohol use
when do chronic drinkers withdrawal begins?
alcohol withdrawal syndrome usually begins within 12 hours after abrupt discontinuation or
attempt to decrease consumption
most severe alcohol withdrawal symptoms
-delirium tremors and grand mal (tonic-clonic) seizures
*life threatening
-if seizures occur, usually do within the first 48 hours of withdrawal
what are delirium tremors characterized by
acute withdrawal syndrome with autonomic hyperarousal, disorientation, hallucinations, HTN,
and tremors
what does nutrition look like in alcohol use disorder?
-malnutrition is common!
-alcohol is substituted for healthy foods, lack of appetite, aversion to food
*nutrition is less than body requirements
alcohol tolerance
-people who use alcohol regulary
-the ability to ingest an increasing amount of alcohol before they experience a "high" and show
cognitive and motor effects
blood alcohol level of a nontolerant drinker
,-blood alcohol level of .40 would put a nontolerant drinker into a coma
if the patient is moving and talking with a high blood alcohol level...
-the patient has most likely developed a tolerance to alcohol, and the behavior strongly indicates
that the patient's body is tolerant
denial
-the patient's inability to accept his or her loss of control over substance use or the severity of the
consequences associated with the substance abuse or addiction; attempt to avoid accepting
diagnosis
how is denial manifested?
-in attempts to rationalize the substance use, minimize the harmful results, deflect attention from
one's own problem to society's or someone else's, or blame childhood trauma
what is a form of denial of alcoholism?
minimizing one's drinking
human and animal studies have confirmed what?
a genetic predisposition to alcohol
withdrawal
a set of physiological symptoms that occur when a person stops using a substance; specific to the
subsstance being used, and each substance will have its own characteristic syndrome
codependence
"enabling", an individual in a relationship with a person who abuses alcohol inadvertently
reinforces the drinking behavior of the other person
CNS impairment level depends on...
-how much has been consumed in a given period of time, and how rapidly the body metabolizes
it
blood alcohol level (BAL)
determines intoxication due to the level of alcohol seen in the blood
what can the body metabolize without intoxication?
1oz of liquor, 5oz of wine, and 12oz of beer per hour
legal defintion of intoxication
blood concentration of 80 or 100mg ethanol per deciliter of blood (mg/dl)
*.08= legal limit
, 1-2 drinks (0.05)
impaired judgment, giddiness, mood changes
5-6 drinks (0.10)
difficulty driving and coordinating movements
10-12 drinks (0.20)
motor functions severly impaired, ataxia (loss of muscle control), emotional lability
15-20 drinks (0.30)
stupor (state of unconsciousness), disorientation, confusion
20-24 drinks (0.40)
coma
25 drinks (0.50)
respiratory failure, death
CIWA addresses..
nausea/vomiting, tremor, sweating, anxiety, agitation; first item that the nurse uses when a
patient is admitted for alcohol use
-antianxiety and sedating drugs such as benzos are titrated downwardly over several days
as a substitution for alcohol
what is given typically if patient is withdrawing from alcohol?
chlordiazepoxide and lorazepam
if patient has a history of addictions, what should be given for anxiety?
antihistamine (vistaril)
-do not give benzodiazepines
opioid intoxication
exhibit sedation, euphoria, constipation, reduced libido, analgesia (absence of pain), memory and
concentration problems, pupillary constriction
*dilated pupils in withdrawal
opiate withdrawal
diarrhea, abdominal cramps, fever, diaphoresis, goose bumps, muscle aches
opiate drugs include...
CORRECT ANSWERS
what happens when a patient enters treatment for alcohol addiction?
alcohol ingestion is immediately stopped and detoxification begins
alcohol withdrawal syndrome
increased HR and BP, diaphoresis, mild anxiety, restlessness, and hand tremors, nausea,
anorexia, irritable, fever,
-begin within 12 hours after discontinuation or attempt to decrease consumption
severity of withdrawal ranges from...
mild to severe; depends on the length and amount of alcohol use
when do chronic drinkers withdrawal begins?
alcohol withdrawal syndrome usually begins within 12 hours after abrupt discontinuation or
attempt to decrease consumption
most severe alcohol withdrawal symptoms
-delirium tremors and grand mal (tonic-clonic) seizures
*life threatening
-if seizures occur, usually do within the first 48 hours of withdrawal
what are delirium tremors characterized by
acute withdrawal syndrome with autonomic hyperarousal, disorientation, hallucinations, HTN,
and tremors
what does nutrition look like in alcohol use disorder?
-malnutrition is common!
-alcohol is substituted for healthy foods, lack of appetite, aversion to food
*nutrition is less than body requirements
alcohol tolerance
-people who use alcohol regulary
-the ability to ingest an increasing amount of alcohol before they experience a "high" and show
cognitive and motor effects
blood alcohol level of a nontolerant drinker
,-blood alcohol level of .40 would put a nontolerant drinker into a coma
if the patient is moving and talking with a high blood alcohol level...
-the patient has most likely developed a tolerance to alcohol, and the behavior strongly indicates
that the patient's body is tolerant
denial
-the patient's inability to accept his or her loss of control over substance use or the severity of the
consequences associated with the substance abuse or addiction; attempt to avoid accepting
diagnosis
how is denial manifested?
-in attempts to rationalize the substance use, minimize the harmful results, deflect attention from
one's own problem to society's or someone else's, or blame childhood trauma
what is a form of denial of alcoholism?
minimizing one's drinking
human and animal studies have confirmed what?
a genetic predisposition to alcohol
withdrawal
a set of physiological symptoms that occur when a person stops using a substance; specific to the
subsstance being used, and each substance will have its own characteristic syndrome
codependence
"enabling", an individual in a relationship with a person who abuses alcohol inadvertently
reinforces the drinking behavior of the other person
CNS impairment level depends on...
-how much has been consumed in a given period of time, and how rapidly the body metabolizes
it
blood alcohol level (BAL)
determines intoxication due to the level of alcohol seen in the blood
what can the body metabolize without intoxication?
1oz of liquor, 5oz of wine, and 12oz of beer per hour
legal defintion of intoxication
blood concentration of 80 or 100mg ethanol per deciliter of blood (mg/dl)
*.08= legal limit
, 1-2 drinks (0.05)
impaired judgment, giddiness, mood changes
5-6 drinks (0.10)
difficulty driving and coordinating movements
10-12 drinks (0.20)
motor functions severly impaired, ataxia (loss of muscle control), emotional lability
15-20 drinks (0.30)
stupor (state of unconsciousness), disorientation, confusion
20-24 drinks (0.40)
coma
25 drinks (0.50)
respiratory failure, death
CIWA addresses..
nausea/vomiting, tremor, sweating, anxiety, agitation; first item that the nurse uses when a
patient is admitted for alcohol use
-antianxiety and sedating drugs such as benzos are titrated downwardly over several days
as a substitution for alcohol
what is given typically if patient is withdrawing from alcohol?
chlordiazepoxide and lorazepam
if patient has a history of addictions, what should be given for anxiety?
antihistamine (vistaril)
-do not give benzodiazepines
opioid intoxication
exhibit sedation, euphoria, constipation, reduced libido, analgesia (absence of pain), memory and
concentration problems, pupillary constriction
*dilated pupils in withdrawal
opiate withdrawal
diarrhea, abdominal cramps, fever, diaphoresis, goose bumps, muscle aches
opiate drugs include...
