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NUR 355 EXAM 3 REVIEWED QUESTIONS AND ACTUAL ANSWERS.
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NUR 355 EXAM 3 REVIEWED QUESTIONS AND ACTUAL ANSWERS.
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NUR 355 EXAM 3 REVIEWED QUESTIONS ANDACTUAL ANSWERS.
1.,Mr.,White,is,admitted,to,the,hospital,after,an,extended,period,of,binge,alcohol,drinking.,His,wife,repor
ts,that,he,has,been,a,heavy,drinker,for,a,number,of,years.,Lab,reports,reveal,he,has,a,blood,alcohol,level,
of,250,mg/dL.,He,is,placed,on,the,chemical,addictions,unit,for,detoxification.,When,would,the,first,signs,
of,alcohol,withdrawal,symptoms,be,expected,to,occur?
a.,Several,hours,after,the,last,drink.
b.,2,to,3,days,after,the,last,drink.
c.,4,to,5,days,after,the,last,drink.
d.,6,to,7,days,after,the,last,drink.,,ANS,-,,a.,Several,hours,after,the,last,drink.
2.,Symptoms,of,alcohol,withdrawal,include:,
a.,Euphoria,,hyperactivity,,and,insomnia.,
b.,Depression,,suicidal,ideation,,and,hypersomnia.,
c.,Diaphoresis,,nausea,and,vomiting,,and,tremors.,
d.,Unsteady,gait,,nystagmus,,and,profound,disorientation.,,ANS,-
,,c.,Diaphoresis,,nausea,and,vomiting,,and,tremors.
3.,Which,of,the,following,medications,is,the,physician,most,likely,to,order,for,a,client,experiencing,alcoh
ol,withdrawal,syndrome?,
a.,Haloperidol,(Haldol)
b.,Chlordiazepoxide,(Librium)
c.,Methadone,(Dolophine),
d.,Phenytoin,(Dilantin),,ANS,-,,b.,Chlordiazepoxide,(Librium)
4.,Dan,,who,has,been,admitted,to,the,alcohol,rehabilitation,unit,after,being,fired,for,drinking,on,the,job,,
states,to,the,nurse,,"I,don't,have,a,problem,with,alcohol.,I,can,handle,my,booze,better,than,anyone,I,kno
w.,My,boss,is,a,jerk!,I,haven't,missed,any,more,days,than,my,coworkers.",What,is,the,nurse's,best,respon
se?,
a.,"Maybe,your,boss,is,mistaken,,Dan.",
b.,"You,are,here,because,your,drinking,was,interfering,with,your,work,,Dan.",
,c.,"Get,real,,Dan!,You're,a,boozer,and,you,know,it!",
d.,"What,do,you,think,your,boss,is,a,jerk,,Dan?",,ANS,-
,,b.,"You,are,here,because,your,drinking,was,interfering,with,your,work,,Dan."
5.,Dan,,who,has,been,admitted,to,the,alcohol,rehabilitation,unit,after,being,fired,for,drinking,on,the,job,,
states,to,the,nurse,,"I,don't,have,a,problem,with,alcohol.,I,can,handle,my,booze,better,than,anyone,I,kno
w.,My,boss,is,a,jerk!,I,haven't,missed,any,more,days,than,my,coworkers.",What,is,the,nurse's,best,respon
se?,
a.,Denial,
b.,Projection
c.,Displacement,
D.,Rationalization,,ANS,-,,a.,Denial
6.,Dan,has,been,admitted,to,the,alcohol,rehabilitation,unit,after,being,fired,for,drinking,on,the,job.,Dan's,
drinking,buddies,come,for,a,visit,,and,when,they,leave,,the,nurse,smells,alcohol,on,Dan's,breath.,Which,o
f,the,following,would,be,the,best,intervention,with,Dan,at,this,time?
a.,Search,his,room,for,evidence.
b.,Ask,,"Have,you,been,drinking,alcohol,,Dan?"
c.,Send,a,urine,specimen,from,Dan,to,the,lab,for,drug,screening.
d.,Tell,Dan,,"These,guys,cannot,come,to,the,unit,to,visit,you,again.",,ANS,-
,,c.,Send,a,urine,specimen,from,Dan,to,the,lab,for,drug,screening.
7.,Dan,begins,attendance,at,AA,meetings.,Which,of,the,statements,by,Dan,reflects,the,purpose,of,this,or
ganization?
a.,"They,claim,they,will,help,me,stay,sober."
b.,"I'll,dry,out,in,AA,,then,I,can,have,a,social,drink,now,and,then."
c.,"AA,is,only,for,people,who,have,reached,the,bottom."
d.,"If,I,lose,my,job,,AA,will,help,me,find,another.",,ANS,-,,a.,"They,claim,they,will,help,me,stay,sober."
8.,From,which,of,the,following,symptoms,might,the,nurse,identify,a,chronic,cocaine,user?
a.,Clear,,constricted,pupils
b.,Red,,irritated,nostrils
, c.,Muscle,aches
d.,Conjunctival,redness,,ANS,-,,b.,Red,,irritated,nostrils
9.,An,individual,who,is,addicted,to,heroin,is,likely,to,experience,which,of,the,following,symptoms,of,with
drawal?
a.,Increased,heart,rate,and,blood,pressure
b.,Tremors,,insomnia,,and,seizures
c.,Incoordination,and,unsteady,gait
d.,Nausea,and,vomiting,,diarrhea,,and,diaphoresis,,ANS,-
,,d.,Nausea,and,vomiting,,diarrhea,,and,diaphoresis
10.,A,polysubstance,abuser,makes,the,statement,,"The,green,and,whites,do,me,good,after,speed.",How,
might,the,nurse,interpret,the,statement?
a.,The,client,abuses,amphetamines,and,anxiolytics.
b.,The,client,abuses,alcohol,and,cocaine.
c.,The,client,is,psychotic.
d.,The,client,abuses,narcotics,and,marijuana.,,ANS,-,,a.,The,client,abuses,amphetamines,and,anxiolytics.
11.,A,client,admitted,to,the,ED,smells,strongly,of,alcohol,,and,his,wife,reports,he,has,been,a,heavy,drinke
r,for,the,last,25,years.,Which,of,the,following,assessment,findings,are,consistent,with,long-
term,chronic,alcohol,abuse?,Select,all,that,apply.,
a.,The,client,reports,weak,leg,muscles,,and,his,gait,is,unsteady.,
b.,The,client's,abdomen,is,distended.,
c.,The,client,reports,he,was,coughing,up,some,blood.,
d.,The,client,reports,he,has,double,vision.,
e.,Blood,test,reveal,a,low,WBC,count.,,ANS,-
,,a.,The,client,reports,weak,leg,muscles,,and,his,gait,is,unsteady.,
b.,The,client's,abdomen,is,distended.,
c.,The,client,reports,he,was,coughing,up,some,blood.,
d.,The,client,reports,he,has,double,vision.,
e.,Blood,test,reveal,a,low,WBC,count.
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