NUR 2488 Mental Health Nursing Exam 3 -Rasmussen College

A patient with a history of cocaine use reports a concurrent history of using other drugs in order to counteract the effects of cocaine. Whch drug is this patient likely to have abused? Selecte d Answer : Alcohol Answers: PCP Alcohol Methylpheni date Caffeine Respons e Feedbac k: Alcohol is a depressant whch can neutralize the effects of cocaine, whch is a stimulant. Caffeine, methylphenidate (used to treat ADHD) and the illegal drug PCP are also stimulating and would only exacerbate the effects of cocaine. • Question 2 A patient is admitted with a heart rate of 53 bpm, respirations 6/min, temp 96.8 and pinpoint pupils. Based on these clinical manifestations, whatsubstance did this patient most likely overdose on? Selecte d Answer : Marijuana Answers: Opioids Alcohol Marijuana Amphetamine Respons e Feedbac k: Opioids include prescribed medications such as oxycodone and morphine, and the illegal substance heroin. The above symptoms are typical of opioid overdose, but are not typically seen with marijuana, alcohol or amphetamines. • Question 3 An elderly client with cognitive impairment is combative and pulled out anasogastric tube, intravenous line, and indwelling urinary catheter. What can the nurse anticipate that the health care provider will most likely prescribe? Selecte d Answer : A small dose of a selective serotonin reuptake inhibitor Answers: A small dose of a selective serotonin reuptake inhibitor A large dose of a benzodiazepine A maintenance dose of buspirone A small dose of an atypical antipsychotic Respon se Feedbac k : Aggressive behavior can be safely managed by antipsychotic medication. Initial dosing should be small and raised cautiously until behavior is controlled. Selective serotonin reuptake inhibitors are not indicated for aggressive behavior. If a benzodiazepine is used, the initial dose should be low. Buspirone is not eff...................................coninued