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
