NUR 350 Exam #3 Questions and
Answers Latest Versions 2025 Graded
A+
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
Answers Latest Versions 2025 Graded
A+
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
