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NUR 211 Behavior (Substance Use Disorder) Review Questions and Correct Answers
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What is included in nursing self awareness? · Check your bias at the door · Review every case individually, not everyone is the same · Constantly be aware of your own feelings and treat everyone with an open attitude What is substance use disorder? And what are some withdrawal symptoms? And wha...

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  • September 11, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nur 211 behavior substance use disorder review q
  • what is included in nursing self awareness che
  • what is substance use disorder and what are some

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NUR 211 Behavior (Substance Use
Disorder) Review Questions and Correct
Answers
What is included in nursing self awareness? ✅· Check your bias at the door
· Review every case individually, not everyone is the same
· Constantly be aware of your own feelings and treat everyone with an open attitude

What is substance use disorder? And what are some withdrawal symptoms? And what
is pseudo addiction ✅· The development is influence by genetics, psychosocial, and
environmental factors
· Withdrawal: anxiety, N/V, rhinitis, sneezing, chills, hot flashes, abdominal cramping,
tremors, diaphoresis, hyperreflexia, diarrhea, piloerection, insomnia
· Pseudo addiction is a mistaken diagnosis of SUD that occurs when a patient's pain is
not well controlled; the patient may begin to manifest symptoms suggestive of SUD

Lifespan considerations for substance use disorder? ✅· Children whose parents had
alcohol issues are more likely to have the same issues as well
· Can lead to Fetal Alcohol Syndrome or Neonatal Abstinence Syndrome
· Increased NICU admissions for baby's addicted to drugs
· Involves social services
· Increases mental health disorders, medical complications for the children

What are some common opioids? ✅o Heroin, oxycodone, morphine, fentanyl,
hydromorphone, methadone, oxytocin, hydrocodone

Overview for fentanyl? ✅o Increased awareness due to more overdoses
O Fentanyl is laced in some drugs and creates a more potent drug (limits the side
effects)
O Mixing two drugs creates a bigger and better high for addicts
O The problem is that it is so potent, and the body cannot handle it and leads to a
massive respiratory depression

Overview of methadone? ✅o Used to treat addiction, not prescribed for pain
management
O Given to help with withdrawals
O Controlled substance

Intoxication and withdrawal symptoms for opioids? ✅· Intoxication/Overdose: pinpoint
pupils, low BP, respiratory depression, stupor, coma, seizures, pulmonary edema, skin
abscesses, fresh needle marks

, · Withdrawal: anxiety, aching muscles, N/V, diaphoresis, insomnia, rhinorrhea, diarrhea,
dysphoria, fever, drug craving

Reversal agents for opioids? ✅· Reversal: biggest concern is respiratory depression
O Go to naloxone (Narcan), typically IV but can be intranasally
O First responders will carry Narcan
O Supposed to block the effects of the drugs, but some people abuse it
O Narcan can make the person feel sick like a withdrawal, and it takes away the high
O Short acting, smaller half-life than most opioids which means that it will wear off fast
and the narcotic effect can come back quickly

AE and interventions for opioids? ✅· Adverse Effects:
O Constipation, N/V, pruritis, hypotension, and sedation
· Interventions:
O Support cardiorespiratory function
O Establish IV lines, run labs, and may have to give bolus of glucose to eliminate
hypoglycemia
O Administer narcotic antagonist
O Monitor RR, HR, BP, for pulmonary edema

What are the drugs given for alcohol withdrawal? ✅lorazepam and chlordiazepoxide

What is given to maintain abstinence from alcohol and what is given to maintain
abstinence from heroin and opiates? ✅disulfiram,

Methadone,

Levomethadyl

What is given to maintain abstinence from opiates and decrease opiate cravings? What
blocks the effects of opioates and reduces alcohol cravings ✅buprenorphine/naloxone

Naltrexone

What drug suppresses opiate withdrawal symptoms? And what two drugs surpasses
alcohol cravings? ✅clonidine, acamprosate, thiamine

What is given to prevent or treat wernicke syndrome? ✅thiamine

What can be given for nutritional deficiencies? ✅folic acid and cyanobalamin (vitamin
B12)

Examples of stimulants and some common signs and symptoms? ✅· Cocaine:
O Increase HR and BP, hyperpyrexia, seizures, dilated pupils, muscle rigidity, increased
energy

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