PSYC 5015 Chapter 25- Addiction and Substance-Related Disorders (Portage learning)

Chapter 25: Addiction and Substance-Related Disorders A nurse is assessing a client with substance abuse for evidence of possible long-term complications. Which finding would alert the nurse to the development of a complication affecting the hematologic system? Select all that apply.  Leukemia  Anemia  Hematomas  Pancreatitis  Ulcers A client is brought to the emergency department by law enforcement after suspicion of driving under the influence. A blood alcohol level is drawn and is found to be 0.10 mg%. Which of the following would the nurse expect to assess?  Giddiness  Impaired judgment  Mood changes  Difficulty coordinating movements When discussing methadone treatment with a client, the nurse should include what?  It is a nonaddictive treatment.  It takes 1 to 2 years to cure an opiate addict.  The cure rate is extremely high.  It decreases the severity of heroin withdrawal symptoms. The public health nurse is planning community education on substance use. Which will the nurse prioritize?  prevention  treatment  collaboration  intervention The nurse is caring for an adult client that has been admitted to the detoxification unit. Due to acute withdrawal, what cues will the nurse likely assess?  anhidrosis, hypotonicity, and delusions  psychomotor hypoactivity and hypotension  bradycardia and generalized seizures  flushed face, headache, and tremors A client is admitted for a drug overdose with a barbiturate. Which is the priority nursing action when planning care for this client?  Monitor respiratory function.  Prepare a dose of ipecac, an emetic.  Check the client's belongings for additional drugs.  Pad the side rails of the bed because seizures are likely. The nurse is talking with a client that grew up in a home where both parents were alcoholics. Which behavior(s) does the nurse identify when assessing this client that correlate with this home life? Select all that apply.  Drinks alcohol to excess 3 days a week  Went back to college to complete a degree in nursing  Divorced 3 times with tumultuous relationships with spouses  States that they hold on to bad relationships due to fear of being alone  Several trusting relationships with friends During an assessment, a client states the inability to have long-term relationships and fears being abandoned. Which question would the nurse ask to help identify the reason for the client’s feelings?  “How many siblings do you have?”  “Did your parents consume alcohol when you were growing up?”  “How much alcohol do you consume?”  “Which substances do you routinely use?” The body can metabolize how much beer per hour without intoxication?  28 oz  16 oz