NURS 664 EXAM 4 MARYVILLE Latest Update
2024-2025 Actual Exam from Credible Sources
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abuse - CORRECT ANSWER: use of any drug in a manner that deviates from approved
social or medial patterns
acamprosate; what, side effects, dose - CORRECT ANSWER: what: alcohol relapse
prevention; "artificial alcohol" decreases glutamate and increases GABA
side effects: anxiety, depression, diarrhea, decreased libido, flu like
dose: 666mg TID
must be abstinent from etoh first
alcohol intoxication s/sx - CORRECT ANSWER: recent ingestion
at least one of: slurred speech, incoordination, unsteady gait, nystagmus, memory
impaired, stupor or coma
alcoholic cirrhosis - CORRECT ANSWER: fatigue, weakness, weight loss, GI bleed,
abdominal swelling, concussion, jaundice
liver has scar tissue
liver transplant needed
alcoholic liver disease - CORRECT ANSWER: fatty liver, alcoholic hepatitis, cirrhosis
amphetamine abuse - CORRECT ANSWER: flushing, pallor, fever, headache,
tachycardia, palpitations, bruxism, SOB, tremor, ataxia
MI, htn, colitis
, average time for alcohol withdrawal - CORRECT ANSWER: 7 days
buprenorphine dosing - CORRECT ANSWER: must be in withdrawal to start
SL 8-32mg/d
buprenorphine; moa, who can use - CORRECT ANSWER: MOA: partial opioid agonist,
prevents pleasurable effects, is a opiate analgesic
who: pregnant okay, must be in mild withdrawal to start
buproprion; dosing - CORRECT ANSWER: for smoking cessation: begin 7-14d before
stop date; 150mg SR in am x6 days then increase to 150mg SR BID
tx for 7-9 weeks
cannabis intoxication DSM - CORRECT ANSWER: conjunctival injection, increased
appetite, dry mouth, tachycardia
chlordiazepoxide; MOA, what for, dosing - CORRECT ANSWER: MOA: enhances
GABA
for acute alcohol withdrawal
50-100mg injectable every 2hrs
clonidine for etoh withdrawal - CORRECT ANSWER: decrease bp, decrease HR,
tremors
clonidine for opiate withdrawal - CORRECT ANSWER: blocks autonomic symptoms;
palpitations, sweating
clonidine; MOA - CORRECT ANSWER: alpha 2 receptors