TEST BANK FOR LEWIS MEDICAL SURGICAL NURSING 11th EDITION QUESTIONS AND ANSWERS GUARANTEED SUCCESS CHAPTER 48-68 LATEST UPDATE

TEST BANK FOR LEWIS MEDICAL SURGICAL
NURSING 11th EDITION QUESTIONS AND
ANSWERS GUARANTEED SUCCESS CHAPTER
48-68 LATEST UPDATE
Chapter 48: Substance Use Disorders
Test Bank
MULTIPLE
CHOICE
1. Which assessment finding would alert the nurse to ask the patient about
alcohol use?
a. Low blood pressure
b. Decreased heart rate
c. Elevated temperature
d. Abdominal
tendernessANS: D
Abdominal pain associated with gastrointestinal tract and liver
dysfunction is common in patients with chronicalcohol use. The other
problems are not associated with alcohol abuse.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
2. The nurse plans postoperative care for a patient who smokes a pack of
cigarettes daily. Which goal shouldthe nurse include in the plan of care
for this patient?
a. Improve sleep
b. Enhance appetite
c. Decrease diarrhea
d. Prevent
sore throatANS: A
Insomnia is a characteristic of nicotine withdrawal. Diarrhea, sore throat,
and anorexia are not symptomsassociated with nicotine withdrawal.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Planning MSC: NCLEX: Psychosocial Integrity
3. A young adult patient scheduled for an annual physical
examination arrives in the clinic smelling ofcigarette smoke and
carrying a pack of cigarettes. Which action will the nurse plan to
take?
a. Urge the patient to quit smoking as soon as possible.
b. Avoid confronting the patient about smoking at this time.
c. Wait for the patient to start the discussion about quitting smoking.
d. Explain that the cold turkey method is most effective in stopping
smoking.
ANS: A
Current national guidelines indicate that health care professionals should
urge patients who smoke to quitsmoking at every encounter. The other
actions will not help decrease the patients health risks related tosmoking.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and
Maintenance
4. A patient admitted to the hospital after an automobile accident is alert
and does not appear to be highly intoxicated. The blood alcohol
concentration (BAC) is 110 mg/dL (0.11 mg%). Which action by the
nurse ismostappropriate?
a. Avoid the use of IV fluids.
b. Maintain the patient on NPO status.
c. Administer acetaminophen for headache.
d. Monitor frequently for anxiety, hyperreflexia, and sweating.
ANS: D
The patients assessment data indicate probable physiologic dependence
on alcohol, and the patient is likely to develop acute withdrawal such as
anxiety, hyperreflexia, and sweating, which could be life threatening.
Acetaminophen is not recommended because it is metabolized by
the liver. IV thiamine and IV glucose solutions usually are given to
intoxicated patients to prevent Wernickes encephalopathy, and there
is noindication that the patient should be NPO.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity