NURS 380 Final Exam/225
Questions with Correct
Solutions/Updated
Korsokoff's Syndrome - -an alcohol related disorder marked by extreme
confusion, memory impairment, and other neurological symptoms
-Manifestations of chronic alcohol use - --anxiety
-bleeding disorders
-cardiomyopathy
-certain cancers
-cirrhosis
-delirium
-depression
-erectile dysfunction
-gastrointestinal disorders
-hypertension
-insomnia
-Korsakoff's syndrome (memory disorder that results from B1
deficiency)
-Nutritional deficiency
-osteoporosis
-recurrent falls
-self-care deficienct
-spider angiomas
-weight loss
-Wernicke's encephalopathy (degenerative brain disorder that causes
lack of B1)
-Complications of chronic alcohol use - --carcinoma (esophageal, liver,
hepatocellular, pancreas)
-cirrhosis (alcohol induced Laennec's cirrhosis)
-delirium
-depression
-gout
-hypertension
-hypothermia
-nutritional deficiencies, including thiamine deficiency
-Wernicke-Korsakoff's syndrome
-pancreatitis
-poisoning, accidental or intentional
-pre- and postoperative complications
-traumatic injuries
-withdrawal
, -Wernicke's encephalopathy - -A brain disorder caused by thiamine
deficiency and characterized by visual disturbances, ataxia,
somnolence, stupor, and , without thiamine replacement, death.
-Substance abuse disorder (SUD) - -a cluster of cognitive, behavioral
and psychological symptoms indicating that individual continues using
the substance despite significant substance-related problems
(mild/mod/severe) (ex: marijuana)
-Alcohol use disorders (AUD) - -describes an individual who uses alcohol
and meets criteria for an SUD
-dependence - -the body naturally adapting to regular exposure to
substance
-tolerance - -more of the substance is required to achieve the same
effect
-withdrawal - -the occurrence of physical or emotional clinical
manifestations if the substance is decreased or abruptly stopped
-craving - --a physical dependence that leads to a strong desire or
persistent thoughts about the substance
-triggered by external factors: places, people, things associated with
substance abuse patterns
-internal triggers: emotional or physical symptoms of withdrawal
-physical dependence - -no maladaptive behaviors associated (ex:
cancer patient prescription opiate for pain)
*unpleasant symptoms occur if patient stops taking drug suddenly*
-Opioid withdrawal symptoms 12-72 hours later - --hot and cold flashes
-loss of appetite
-nausea
-vomiting
-diarrhea
-goose bumps
-muscle twitching and aching muscles and bones
-insomnia
-increased blood pressure
-fever
, -tachycardia
-Opioid withdrawal symptoms 24-48 hours later - -significant muscle
and bone aches along with powerful muscle spasms that cause violent
kicking motions ("kicking the habit")
-SUD physical signs and symptoms - --bloodshot eyes
-pupils larger or smaller than usual
-changes in appetite
-sudden weight loss or gain
-changes in sleep patterns
-deterioration of physical appearance and personal grooming habits
-unusual smells on breath, body, or clothing
-SUD behavioral signs and symptoms - --poor performance or missed
days at school or work
-financial troubles; unexplained need for money; may barrow or steal to
get money
-secretive or suspicious behaviors
-change in peer group, hangouts, favorite activities, or hobbies
-frequently getting into trouble (fights, accidents, illegal activities)
-SUD psychological signs - --unexplained changes in personality or
attitude
-sudden mood swings, irritability, or angry outbursts
-periods of unusual hyperactivity, agitation, or giddiness
-lack of motivation; appears lethargic or "spaced out"
-appears fearful, anxious, or paranoid for no apparent reason
-SUD symptoms from addiction highlights powerpoint - --feeling that
you have to use the drug regularly (daily or even several times a day)
-having intense urges for the drug that block out any other thoughts
-over time, needing more of the drug to get the same effect
-taking larger amounts of the drug over a longer period of time than you
intended
-making certain that you maintain a supply of the drug
-spending money on the drug, even though you can't afford it
-not meeting obligations and work responsibilities, or cutting back on
social or recreational activities because of drug use
-continuing to use the drug, even though you know it's causing
problems in your life or causing you physical or psychological harm
-doing things to get the drug that you normally wouldn't do, such as
stealing
-driving or doing other risky activities when you're under the influence
of the drug
-spending a good deal of time getting the drug, using the drug or
recovering from the effects of the drug
-failing in your attempts to stop using the drug
-experiencing withdrawal symptoms when you attempt to stop taking
the drug
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