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NURS 1023 Addiction Questions With Complete Solutions
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NURS 1023 Addiction Questions With Complete Solutions
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NURS 1023 Addiction Questions With Complete SolutionsA 45-year-old client who recently completed alcohol
detoxification reports plans to begin using disulfirams as part of
the alcoholism treatment regimen. Which client teaching would
the nurse share regarding this medication?
1
Voluntary compliance with the disulfiram regimen is very high.
2
A single dose of oral disulfiram will be effective for up to 72
hours.
3
Disulfiram may be taken intramuscularly and will be effective
for as long as 7 days.
4
Foods, medications, and any topical preparation containing
alcohol should be avoided. Correct Answer Disulfiram causes
unpleasant physical effects when mixed with alcohol. Any
substance that contains alcohol may trigger an adverse reaction.
Voluntary compliance with the use of disulfiram is often very
low because of the negative physical effects experienced by the
individual if alcohol is ingested. For disulfiram to be effective, it
must be taken orally every day. Disulfiram is not administered
intramuscularly.
A client who has a history of alcohol abuse now has recurrent
exacerbations of chronic pancreatitis. The nurse asks the client
to obtain a stool specimen. When assessing the client's stool,
which would the nurse expect to observe?
1
Melena
,2
Steatorrhea
3
Hard, dry stool
4
Ribbon-shaped stool Correct Answer 2
Steatorrhea
Decreased secretion of lipase from the pancreas limits fat
breakdown in the small intestine, resulting in increased fat
content in feces; steatorrhea is soft, frothy, foul-smelling feces.
Melena refers to black, tarry stool containing digested blood;
melena is caused by upper gastrointestinal bleeding. Hard, dry
stool reflects constipation; stools associated with pancreatitis are
soft and frothy. Ribbon-shaped stool is associated with
obstruction of the descending or sigmoid colon.
A client who has alcoholism becomes irritable, makes excuses,
and blames family and friends for the drinking problem. Which
defense mechanisms is the client using? Select all that apply.
One, some, or all responses may be correct.
1
Projection
2
Suppression
3
Sublimation
4
Identification
5
Rationalization Correct Answer 1
, Projection
5
Rationalization
Clients with alcoholism commonly use projection and
rationalization to make reality more acceptable. Projection is the
unconscious denial of unacceptable feelings and emotions in
one's self while attributing them to others. Rationalization is
making acceptable excuses for undesirable behavior.
Suppression, sublimation, and identification are not commonly
used by clients with an alcohol problem. Suppression keeps
uncomfortable thoughts, feelings, and wishes in the
subconscious. Sublimation is the rechanneling of anxiety into
constructive activities. Identification is the unconscious wish to
be like another person.
A client with a history of methamphetamine use is admitted to
the medical unit. Which clinical manifestation would the nurse
expect when assessing the client who is under the influence on
admission?
1
Constricted pupils
2
Intractable diarrhea
3
Increased heart rate
4
Decreased respirations Correct Answer 3
Increased heart rate
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