The nurse admits a patient with a serious medical condition. During the assessment, the focus is on physical problems. The presence of substance abuse does not become apparent until the patient develops symptoms of

respiratory problems

depression problems

withdrawal problems

cardiac problems

Answer and Explanation

The Correct Answer is C

A. respiratory problems
These may occur with some drugs (like opioids), but are not a general indicator that someone has a substance use disorder.

B. depression problems
Depression might co-exist with addiction, but it doesn't reveal the substance abuse unless directly linked.

C. withdrawal problems
Substance abuse often becomes evident when the patient enters withdrawal, especially in a controlled environment like a hospital where access to substances is restricted.

D. cardiac problems
Some drugs can affect the heart, but cardiac issues alone do not necessarily point to substance abuse.

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Correct Answer is B

Explanation

A. "This medication will cure alcohol use disorder.”
Disulfiram does not cure alcohol use disorder. It is a deterrent that causes unpleasant effects when alcohol is consumed, supporting abstinence.

B. "Avoid alcohol for 2 weeks after discontinuing the medication.”
Disulfiram inhibits aldehyde dehydrogenase. Its effects persist for up to 2 weeks after stopping, so alcohol must be avoided during this time.

C. "You can safely use topical products that contain alcohol, such as cologne."
False. Even topical alcohol-containing products (cologne, aftershave, hand sanitizers) can trigger a disulfiram reaction.

D. "You should avoid eating undercooked meats while taking this medication."
There is no known interaction between disulfiram and undercooked meat.

A. Marijuana has a high level of addictive possibility B. It’s okay to drive when using marijuana. C. Laws related to who can grow and distribute marijuana vary in each state D. Marijuana affects the area of the brain that controls nausea and vomiting E. Regular marijuana use can lead to reduced IQ scores and poorer school performance F. Marijuana is safe to use during pregnancy and breast feeding

Correct Answer is ["C","D","E"]

Explanation

A. Marijuana has a high level of addictive possibility
Marijuana has low to moderate addictive potential, but not high compared to drugs like heroin or cocaine.

B. It's okay to drive when using marijuana.
Marijuana impairs coordination and reaction time, making it unsafe and illegal to drive.

C. Laws related to who can grow and distribute marijuana vary in each state
Marijuana laws in the U.S. vary widely by state regarding cultivation, sale, and possession.

D. Marijuana affects the area of the brain that controls nausea and vomiting
THC affects the chemoreceptor trigger zone and has antiemetic properties, often used in cancer or HIV patients.

E. Regular marijuana use can lead to reduced IQ scores and poorer school performance
Especially in adolescents, long-term marijuana use is associated with reduced cognitive performance and academic issues.

F. Marijuana is safe to use during pregnancy and breastfeeding
THC crosses the placenta and enters breast milk, and its use during pregnancy is not considered safe due to possible impacts on fetal development.

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The nurse admits a patient with a serious medical condition. During the assessment, the focus is on physical problems. The presence of substance abuse does not become apparent until the patient develops symptoms of

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has alcohol use disorder and is taking disulfiram. Which of the following statements should the nurse include in the teaching?

Correct Answer is B

Explanation

Marijuana is a Schedule 1 drug widely used in the US. From the following statements, select the ones that are TRUE about marijuana and its use: (Select All that Apply)

Correct Answer is ["C","D","E"]

Explanation

The repetition of some socially unacceptable behavior, after that behavior had previously stopped (such as when a person successfully completes rehab and returns to substance abuse repeatedly) is called:

When caring for the addicted patient, the nurse is responsible for providing safety during this acute phase of recovery. The patient may demonstrate tremors, nervousness, and restlessness, and may receive drugs to assist. This acute phase is called:

Unpleasant physical and/or psychological symptoms that occur when people stop taking a substance on which they have become physically and psychologically dependent is:

The professional's responsibility to safeguard a patient from self-harm is:

When the alcoholic attempts to stop drinking symptoms develop such as mild tremors, flu-like symptoms, severe agitation, and hallucinations. These combine to form a syndrome called:

The primary issue in the principles of detoxification is:

One of the most potent of the hallucinogens, with an effect of over 12 hours and flashbacks which can occur within a few days or more than a year later is called:

A white crystalline powder, typically ingested through the nasal cavity, that produces a sense of well-being heightened by alertness and intense feeling of euphoria is