Nursing 347 Exam II Practice Questions
and Correct Answers
Alcohol ✅most frequently abused drug, withdrawal with respiratory arrest, seizures, MI
Alcohol Intoxication ✅mood lability, impaired judgement, aggressive impulses, slurred
speech, impaired coordination, unsteady gait, flushed face
admitting intoxicated pt ✅communicate that is higher risk, increased fall risk, closer
room to nurse station, assess for injury, focused assessment, uncooperative, decreased
stimulation
alcohol withdrawal syndrome ✅hyperactivity, N, V, agitation, anxiety, developed when
alcohol is stopped after heavy drinking, can occur when drinking everyday suddenly
stops, 4-12 hours after last drink
mild alcohol withdrawal ✅6-36 hours, tremors, anxiety, headache, diaphoresis, gi
upset, normal mental status
seizures alcohol withdrawal ✅6-36 hours, single or brief flurry of seizures
alcoholic halluncinosis ✅12-48 hours, visual, auditory, tactile hallucinations
delirium tremors ✅48-96 hours, delirium, agitation, tachycardia, HTN, fever, severe
form, medical emergency killing 1/20, 30% also develop aspiration pneumonia
screening for alcohol physical exam ✅CNS: impaired memory, coordination, sleep
disturbances, neuropathy, Wernicke's encephalopathy, Korsakoff's psychosis
CV: cardiomyopath, dysrhymias, HTN
Hemo: leukopenia, thrombocytopenia
Gi: esophagitis, gastritis, pancreatitis, alcoholic hepatitis, N, V
MS: weakness, tremors, malnutiriton
screening for alcohol lab tests ✅BAC, liver function, K, Mg
CIWA ✅assess and guide alcohol withdrawal treatment, 10s/s, well documented, free
to use
, pharmacologic treatment for alcohol withdrawal ✅Lorazepam 2-4mg with CIWA higher
than 10 given Po, Im, IV
Haldol, 5 mg Po, im, iv
CIWA score less than 10 ✅mild, no treatment
CIWA score 10-15 ✅mild symptoms, lorazepam 2mg every 2 hours
CIWA score 10-16 ✅moderate symptoms, lorazepam 2-4 mg every hours
CIWA score over 20 ✅sever symptoms, risk for DT, lorazempam 2-4 mg and Haldol 5
mg every hour, notify provider for detox complications
CIWA max score ✅67
alcohol symptom mgmt ✅airway protection, iv access, intake and output, vitamin and
electrolyte replacement, caloric supp, fall prevention, prevent symptom progression,
treat comorbidities, support
substance abuse ✅persistent maladaptive substance use with recurrent harmful
consequences over 12 months
substance dependence ✅repeated use of drug despite substance related cognitive,
behavior or physiological problems
addiction ✅compulsive craving to have something
tolerance ✅increased amounts of substance over time needed to achieve effect
withdrawal ✅physiological response to abrupt stop of something
biological substance related disorders ✅genetic predisposition, neurotransmitter
imbalance, comorbid or mental disorder
Caffiene ✅first discovered in 1820 in coffee then 7 years later in tea
Intoxication: anxiety, restlessness, insomnia, psychomotor excitement, speeded
thoughts and speech, increased bowel and bladder activity, tachycardia
Withdrawal: headache, fatigue, drowsiness, depression, N, V
Cocaine ✅Schedule II, derived from coca leaves
