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Chapter 06: Substance Use Assessment
Chapter 06: Substance Use Assessment
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. A woman has come to the clinic to seek help with a substance abuse problem.
She admits to using cocaine just before arriving. Which of these assessment
findings would the nurse expect to find when examining this woman?
a. Dilated pupils, pacing, and psychomotor agitation
b. Dilated pupils, unsteady gait, and aggressiveness
c. Pupil constriction, lethargy, apathy, and dysphoria
d. Constricted pupils, euphoria, and decreased temperature
, ANS: A
A cocaine user’s appearance includes pupillary dilation, tachycardia or
bradycardia, elevated or lowered blood pressure, sweating, chills, nausea,
vomiting, and weight loss. The person’s behavior includes euphoria,
talkativeness, hypervigilance, pacing, psychomotor agitation, impaired social or
occupational functioning, fighting, grandiosity, and visual or tactile
hallucinations.
DIF: Cognitive Level: Applying (Application) REF: p. 99
MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
2. The nurse is assessing a patient who has been admitted for cirrhosis of the
liver, secondary to chronic alcohol use. During the physical assessment, the
nurse looks for cardiac problems that are associated with chronic use of
alcohol, such as:
a. Hypertension.
b. Ventricular fibrillation.
c. Bradycardia.
d. Mitral valve prolapse.
One Account Get all Test Banks
Chapter 06: Substance Use Assessment
Chapter 06: Substance Use Assessment
Jarvis: Physical Examination & Health Assessment, 7th Edition
MULTIPLE CHOICE
1. A woman has come to the clinic to seek help with a substance abuse problem.
She admits to using cocaine just before arriving. Which of these assessment
findings would the nurse expect to find when examining this woman?
a. Dilated pupils, pacing, and psychomotor agitation
b. Dilated pupils, unsteady gait, and aggressiveness
c. Pupil constriction, lethargy, apathy, and dysphoria
d. Constricted pupils, euphoria, and decreased temperature
, ANS: A
A cocaine user’s appearance includes pupillary dilation, tachycardia or
bradycardia, elevated or lowered blood pressure, sweating, chills, nausea,
vomiting, and weight loss. The person’s behavior includes euphoria,
talkativeness, hypervigilance, pacing, psychomotor agitation, impaired social or
occupational functioning, fighting, grandiosity, and visual or tactile
hallucinations.
DIF: Cognitive Level: Applying (Application) REF: p. 99
MSC: Client Needs: Physiologic Integrity: Physiologic Adaptation
2. The nurse is assessing a patient who has been admitted for cirrhosis of the
liver, secondary to chronic alcohol use. During the physical assessment, the
nurse looks for cardiac problems that are associated with chronic use of
alcohol, such as:
a. Hypertension.
b. Ventricular fibrillation.
c. Bradycardia.
d. Mitral valve prolapse.
