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Nursing 347 Exam II Practice Questions and Correct Answers
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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...

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  • August 27, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nursing 347 exam ii practice questions and correct
  • alcohol most frequently abused drug withdrawal w
  • alcohol intoxication mood lability impaired judg

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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

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