Chapter 10: Substance Use Disorders
i i i i
Lewis: Medical-Surgical Nursing, 10th Edition.
i i i i
MULTIPLE iCHOICE
1. Which iassessment ifinding iwould ialert ithe inurse ito iask ithe ipatient iabout ialcohol iuse?
a. Low iblood ipressure c. Elevated itemperature
b. Decreased iheart irate d. i Abdominal itenderness
ANS: i D
Abdominal ipain iassociated iwith igastrointestinal itract iand iliver idysfunction iis icommon
iinipatients iwith ichronic ialcohol iuse. iThe iother iproblems iare inot iassociated iwith ialcohol
iuse.
DIF: Cognitive iLevel: iApply i(application) REF: 151
TOP: i Nursing iProcess: iAssessment MSC: i NCLEX: iPsychosocial iIntegrity
2. The inurse iplans ipostoperative icare ifor ia ipatient iwho ismokes itwo ipacks iof icigarettes
i daily.iWhich igoal ishould ithe inurse iinclude iin ithe iplan iof icare ifor ithis ipatient?
a. Improve isleep c. Decrease idiarrhea
b. Enhance iappetite d. i Prevent isore ithroat
ANS: i A
Insomnia iis ia icharacteristic iof inicotine iwithdrawal. iDiarrhea, isore ithroat, iand ianorexia iare
inotisymptoms iassociated iwith inicotine iwithdrawal.
DIF: Cognitive iLevel: iApply i(application) REF: 150
TOP: i Nursing iProcess: iPlanning MSC: i NCLEX: iPsychosocial iIntegrity
3. A iyoung iadult ipatient ischeduled ifor ian iannual iphysical iexamination iarrives iin ithe iclinic
ismelling iof icigarette ismoke iand icarrying ia ipack iof icigarettes. iWhich iaction iwill ithe inurse
iplanito itake?
a. Urge ithe ipatient ito iquit ismoking ias isoon ias ipossible.
b. Avoid iconfronting ithe ipatient iabout ismoking iat ithis itime.
c. Wait ifor ithe ipatient ito istart ia idiscussion iabout iquitting ismoking.
d. Explain ithat ithe i―cold iturkey‖ imethod iis imost ieffective iin istopping ismoking.
ANS: i A
Current inational iguidelines iindicate ithat ihealth icare iprofessionals ishould iurge ipatients
iwhoismoke ito iquit ismoking iat ievery iencounter. iThe iother iactions iwill inot ihelp idecrease ithe
ipatient‘s ihealth irisks irelated ito ismoking.
DIF: Cognitive iLevel: iApply i(application) REF: 146
TOP: i Nursing iProcess: iPlanning MSC: i NCLEX: iHealth iPromotion iand iMaintenance
4. A ipatient iadmitted ito ithe ihospital iafter ian iautomobile iaccident iis ialert iand idoes inot iappear
itoibe ihighly iintoxicated. iThe iblood ialcohol iconcentration i(BAC) iis i110 img/dL i(0.11 img%).
iWhich iaction iby ithe inurse iis iappropriate?
a. Restrict ioral iand iIV ifluids.
b. Maintain ithe ipatient ion iNPO istatus.
c. Administer iacetaminophen ifor iheadache.
d. Monitor ifor ihyperreflexia iand idiaphoresis.
i i i i
Lewis: Medical-Surgical Nursing, 10th Edition.
i i i i
MULTIPLE iCHOICE
1. Which iassessment ifinding iwould ialert ithe inurse ito iask ithe ipatient iabout ialcohol iuse?
a. Low iblood ipressure c. Elevated itemperature
b. Decreased iheart irate d. i Abdominal itenderness
ANS: i D
Abdominal ipain iassociated iwith igastrointestinal itract iand iliver idysfunction iis icommon
iinipatients iwith ichronic ialcohol iuse. iThe iother iproblems iare inot iassociated iwith ialcohol
iuse.
DIF: Cognitive iLevel: iApply i(application) REF: 151
TOP: i Nursing iProcess: iAssessment MSC: i NCLEX: iPsychosocial iIntegrity
2. The inurse iplans ipostoperative icare ifor ia ipatient iwho ismokes itwo ipacks iof icigarettes
i daily.iWhich igoal ishould ithe inurse iinclude iin ithe iplan iof icare ifor ithis ipatient?
a. Improve isleep c. Decrease idiarrhea
b. Enhance iappetite d. i Prevent isore ithroat
ANS: i A
Insomnia iis ia icharacteristic iof inicotine iwithdrawal. iDiarrhea, isore ithroat, iand ianorexia iare
inotisymptoms iassociated iwith inicotine iwithdrawal.
DIF: Cognitive iLevel: iApply i(application) REF: 150
TOP: i Nursing iProcess: iPlanning MSC: i NCLEX: iPsychosocial iIntegrity
3. A iyoung iadult ipatient ischeduled ifor ian iannual iphysical iexamination iarrives iin ithe iclinic
ismelling iof icigarette ismoke iand icarrying ia ipack iof icigarettes. iWhich iaction iwill ithe inurse
iplanito itake?
a. Urge ithe ipatient ito iquit ismoking ias isoon ias ipossible.
b. Avoid iconfronting ithe ipatient iabout ismoking iat ithis itime.
c. Wait ifor ithe ipatient ito istart ia idiscussion iabout iquitting ismoking.
d. Explain ithat ithe i―cold iturkey‖ imethod iis imost ieffective iin istopping ismoking.
ANS: i A
Current inational iguidelines iindicate ithat ihealth icare iprofessionals ishould iurge ipatients
iwhoismoke ito iquit ismoking iat ievery iencounter. iThe iother iactions iwill inot ihelp idecrease ithe
ipatient‘s ihealth irisks irelated ito ismoking.
DIF: Cognitive iLevel: iApply i(application) REF: 146
TOP: i Nursing iProcess: iPlanning MSC: i NCLEX: iHealth iPromotion iand iMaintenance
4. A ipatient iadmitted ito ithe ihospital iafter ian iautomobile iaccident iis ialert iand idoes inot iappear
itoibe ihighly iintoxicated. iThe iblood ialcohol iconcentration i(BAC) iis i110 img/dL i(0.11 img%).
iWhich iaction iby ithe inurse iis iappropriate?
a. Restrict ioral iand iIV ifluids.
b. Maintain ithe ipatient ion iNPO istatus.
c. Administer iacetaminophen ifor iheadache.
d. Monitor ifor ihyperreflexia iand idiaphoresis.
