Question 1

The nurse is providing education to a client who wants to quit smoking.Which statements are appropriate for the nurse to include in the teaching session with this client? Select all that apply.

Accepted Answer

A) When teaching clients about smoking cessation, the nurse should emphasize that most persons who quit smoking try to quit several times before they are successful. Bupropion is used to suppress the craving for tobacco and is a viable option for this client. The proper use of nicotine gum is to take one piece when the urge to smoke occurs, up to 9 to 12 times daily. The gum should be chewed several times to soften it and then held in the buccal space for at least 30 minutes to absorb the medication. A client wearing a nicotine patch must not smoke because of increased risk for cardiovascular problems, including myocardial infarction. The nurse should always consider alternative therapies in addition to traditional therapies, as they may help the client deal with the stress that accompanies smoking cessation.
B) When teaching clients about smoking cessation, the nurse should emphasize that most persons who quit smoking try to quit several times before they are successful. Bupropion is used to suppress the craving for tobacco and is a viable option for this client. The proper use of nicotine gum is to take one piece when the urge to smoke occurs, up to 9 to 12 times daily. The gum should be chewed several times to soften it and then held in the buccal space for at least 30 minutes to absorb the medication. A client wearing a nicotine patch must not smoke because of increased risk for cardiovascular problems, including myocardial infarction. The nurse should always consider alternative therapies in addition to traditional therapies, as they may help the client deal with the stress that accompanies smoking cessation.
C) When teaching clients about smoking cessation, the nurse should emphasize that most persons who quit smoking try to quit several times before they are successful. Bupropion is used to suppress the craving for tobacco and is a viable option for this client. The proper use of nicotine gum is to take one piece when the urge to smoke occurs, up to 9 to 12 times daily. The gum should be chewed several times to soften it and then held in the buccal space for at least 30 minutes to absorb the medication. A client wearing a nicotine patch must not smoke because of increased risk for cardiovascular problems, including myocardial infarction. The nurse should always consider alternative therapies in addition to traditional therapies, as they may help the client deal with the stress that accompanies smoking cessation.
D) When teaching clients about smoking cessation, the nurse should emphasize that most persons who quit smoking try to quit several times before they are successful. Bupropion is used to suppress the craving for tobacco and is a viable option for this client. The proper use of nicotine gum is to take one piece when the urge to smoke occurs, up to 9 to 12 times daily. The gum should be chewed several times to soften it and then held in the buccal space for at least 30 minutes to absorb the medication. A client wearing a nicotine patch must not smoke because of increased risk for cardiovascular problems, including myocardial infarction. The nurse should always consider alternative therapies in addition to traditional therapies, as they may help the client deal with the stress that accompanies smoking cessation.
E) When teaching clients about smoking cessation, the nurse should emphasize that most persons who quit smoking try to quit several times before they are successful. Bupropion is used to suppress the craving for tobacco and is a viable option for this client. The proper use of nicotine gum is to take one piece when the urge to smoke occurs, up to 9 to 12 times daily. The gum should be chewed several times to soften it and then held in the buccal space for at least 30 minutes to absorb the medication. A client wearing a nicotine patch must not smoke because of increased risk for cardiovascular problems, including myocardial infarction. The nurse should always consider alternative therapies in addition to traditional therapies, as they may help the client deal with the stress that accompanies smoking cessation.

Question 2

A nurse is caring for a client who smokes cigarettes and asks the nurse about nicotine replacement therapy (NRT).Which statement regarding this product is appropriate for the nurse to include in the teaching session?

Accepted Answer

A) Nicotine replacement therapy (NRT) does not address addictive behavior. NRT helps to relieve some physiological, not psychological, effects of nicotine withdrawal. Over-the-counter (OTC) NRTs include transdermal patches and gums. Nicotine inhalers and nasal sprays are available by prescription only. Combining the use of NRT and a smoking cessation program is more effective than the use of NRT alone.
B) Nicotine replacement therapy (NRT) does not address addictive behavior. NRT helps to relieve some physiological, not psychological, effects of nicotine withdrawal. Over-the-counter (OTC) NRTs include transdermal patches and gums. Nicotine inhalers and nasal sprays are available by prescription only. Combining the use of NRT and a smoking cessation program is more effective than the use of NRT alone.
C) Nicotine replacement therapy (NRT) does not address addictive behavior. NRT helps to relieve some physiological, not psychological, effects of nicotine withdrawal. Over-the-counter (OTC) NRTs include transdermal patches and gums. Nicotine inhalers and nasal sprays are available by prescription only. Combining the use of NRT and a smoking cessation program is more effective than the use of NRT alone.
D) Nicotine replacement therapy (NRT) does not address addictive behavior. NRT helps to relieve some physiological, not psychological, effects of nicotine withdrawal. Over-the-counter (OTC) NRTs include transdermal patches and gums. Nicotine inhalers and nasal sprays are available by prescription only. Combining the use of NRT and a smoking cessation program is more effective than the use of NRT alone.

Question 3

The nurse provides a wellness program to a group of pregnant adolescents at risk for substance abuse.Which participant statement indicates that teaching has been effective?

Accepted Answer

A) Pregnant adolescents are at great risk for complications such as pregnancy-induced hypertension, anemia, preterm birth, low-birth-weight infants, and fetal harm from cigarette smoking, alcohol consumption, or the use of street drugs. Early and regular prenatal care is the best intervention to prevent complications or to detect them early, to minimize the harm to both the teen and her fetus. Pregnant adolescents are at great risk for complications such as anemia. Vigorous exercise would not necessarily promote a healthy pregnancy and does not indicate an understanding of the increased risk for an adolescent who is at risk for substance abuse.
B) Pregnant adolescents are at great risk for complications such as pregnancy-induced hypertension, anemia, preterm birth, low-birth-weight infants, and fetal harm from cigarette smoking, alcohol consumption, or the use of street drugs. Early and regular prenatal care is the best intervention to prevent complications or to detect them early, to minimize the harm to both the teen and her fetus. Pregnant adolescents are at great risk for complications such as anemia. Vigorous exercise would not necessarily promote a healthy pregnancy and does not indicate an understanding of the increased risk for an adolescent who is at risk for substance abuse.
C) Pregnant adolescents are at great risk for complications such as pregnancy-induced hypertension, anemia, preterm birth, low-birth-weight infants, and fetal harm from cigarette smoking, alcohol consumption, or the use of street drugs. Early and regular prenatal care is the best intervention to prevent complications or to detect them early, to minimize the harm to both the teen and her fetus. Pregnant adolescents are at great risk for complications such as anemia. Vigorous exercise would not necessarily promote a healthy pregnancy and does not indicate an understanding of the increased risk for an adolescent who is at risk for substance abuse.
D) Pregnant adolescents are at great risk for complications such as pregnancy-induced hypertension, anemia, preterm birth, low-birth-weight infants, and fetal harm from cigarette smoking, alcohol consumption, or the use of street drugs. Early and regular prenatal care is the best intervention to prevent complications or to detect them early, to minimize the harm to both the teen and her fetus. Pregnant adolescents are at great risk for complications such as anemia. Vigorous exercise would not necessarily promote a healthy pregnancy and does not indicate an understanding of the increased risk for an adolescent who is at risk for substance abuse.

Question 4

A pregnant client experiences abruptio placentae.The father of the baby asks the nurse why this has happened to them.Which risk factor in the client's history is the likely cause for this condition?

Accepted Answer

A) Maternal cocaine consumption during pregnancy puts the woman at risk for abruptio placentae. Cocaine use is also associated with preterm birth, low birth weight, neonatal irritability, neonatal depression, SIDS, and developmental delays. Teratogens are medications known to adversely affect normal cellular development in the embryo or fetus. Folic acid is necessary for normal neural tube development. Genetic history does not affect the risk for spontaneous abortion.
B) Maternal cocaine consumption during pregnancy puts the woman at risk for abruptio placentae. Cocaine use is also associated with preterm birth, low birth weight, neonatal irritability, neonatal depression, SIDS, and developmental delays. Teratogens are medications known to adversely affect normal cellular development in the embryo or fetus. Folic acid is necessary for normal neural tube development. Genetic history does not affect the risk for spontaneous abortion.
C) Maternal cocaine consumption during pregnancy puts the woman at risk for abruptio placentae. Cocaine use is also associated with preterm birth, low birth weight, neonatal irritability, neonatal depression, SIDS, and developmental delays. Teratogens are medications known to adversely affect normal cellular development in the embryo or fetus. Folic acid is necessary for normal neural tube development. Genetic history does not affect the risk for spontaneous abortion.
D) Maternal cocaine consumption during pregnancy puts the woman at risk for abruptio placentae. Cocaine use is also associated with preterm birth, low birth weight, neonatal irritability, neonatal depression, SIDS, and developmental delays. Teratogens are medications known to adversely affect normal cellular development in the embryo or fetus. Folic acid is necessary for normal neural tube development. Genetic history does not affect the risk for spontaneous abortion.

Question 5

The nurse is providing care to a client who has a history of chronic obstructive pulmonary disease (COPD)who wants help and information regarding nicotine addiction and ways to quit smoking.After providing education to this client regarding smoking cessation,which statement indicates appropriate understanding of the information presented?

Accepted Answer

A) When providing education regarding smoking cessation, it is important for the nurse to include adaptive coping mechanisms for the client to use during times of stress. The client who expresses the intention to use a healthy coping mechanism-such as chewing sugar-free gum-when the urge to smoke arises indicates appropriate understanding of the information presented. Tapering off smoking and keeping cigarettes close by are examples of the client who is not wholly committed. Eating when stressed may lead the client to substitute eating for smoking, which is a form of denial.
B) When providing education regarding smoking cessation, it is important for the nurse to include adaptive coping mechanisms for the client to use during times of stress. The client who expresses the intention to use a healthy coping mechanism-such as chewing sugar-free gum-when the urge to smoke arises indicates appropriate understanding of the information presented. Tapering off smoking and keeping cigarettes close by are examples of the client who is not wholly committed. Eating when stressed may lead the client to substitute eating for smoking, which is a form of denial.
C) When providing education regarding smoking cessation, it is important for the nurse to include adaptive coping mechanisms for the client to use during times of stress. The client who expresses the intention to use a healthy coping mechanism-such as chewing sugar-free gum-when the urge to smoke arises indicates appropriate understanding of the information presented. Tapering off smoking and keeping cigarettes close by are examples of the client who is not wholly committed. Eating when stressed may lead the client to substitute eating for smoking, which is a form of denial.
D) When providing education regarding smoking cessation, it is important for the nurse to include adaptive coping mechanisms for the client to use during times of stress. The client who expresses the intention to use a healthy coping mechanism-such as chewing sugar-free gum-when the urge to smoke arises indicates appropriate understanding of the information presented. Tapering off smoking and keeping cigarettes close by are examples of the client who is not wholly committed. Eating when stressed may lead the client to substitute eating for smoking, which is a form of denial.

Question 6

A nurse is caring for a newborn who is being treated in the newborn intensive care unit (NICU)due to complications from exposure to illicit drugs in utero.The newborn has microcephaly,multiple cerebral infarcts and is inconsolable with a high-pitched cry.Which illicit drug is likely to blame for the newborn's symptoms?

Accepted Answer

A) The newborn is likely showing symptoms of cocaine withdrawal. Although the other choices have been linked to fetal manifestations, they do not match the clinical manifestations that the newborn is displaying.
B) The newborn is likely showing symptoms of cocaine withdrawal. Although the other choices have been linked to fetal manifestations, they do not match the clinical manifestations that the newborn is displaying.
C) The newborn is likely showing symptoms of cocaine withdrawal. Although the other choices have been linked to fetal manifestations, they do not match the clinical manifestations that the newborn is displaying.
D) The newborn is likely showing symptoms of cocaine withdrawal. Although the other choices have been linked to fetal manifestations, they do not match the clinical manifestations that the newborn is displaying.

Question 7

A nurse is caring for a client with congestive heart failure (CHF)who currently smokes cigarettes and has a 50 pack-year smoking history.When providing smoking cessation education to the client,which statements regarding the pathophysiology of nicotine use are appropriate? Select all that apply.

Accepted Answer

A) In low doses, nicotine stimulates nicotinic receptors in the brain to release dopamine and epinephrine, causing vasoconstriction. Initially, nicotine increases mental alertness and cognitive ability, but eventually it depresses those responses. Nicotine is a psychoactive substance found in tobacco.
B) In low doses, nicotine stimulates nicotinic receptors in the brain to release dopamine and epinephrine, causing vasoconstriction. Initially, nicotine increases mental alertness and cognitive ability, but eventually it depresses those responses. Nicotine is a psychoactive substance found in tobacco.
C) In low doses, nicotine stimulates nicotinic receptors in the brain to release dopamine and epinephrine, causing vasoconstriction. Initially, nicotine increases mental alertness and cognitive ability, but eventually it depresses those responses. Nicotine is a psychoactive substance found in tobacco.
D) In low doses, nicotine stimulates nicotinic receptors in the brain to release dopamine and epinephrine, causing vasoconstriction. Initially, nicotine increases mental alertness and cognitive ability, but eventually it depresses those responses. Nicotine is a psychoactive substance found in tobacco.
E) In low doses, nicotine stimulates nicotinic receptors in the brain to release dopamine and epinephrine, causing vasoconstriction. Initially, nicotine increases mental alertness and cognitive ability, but eventually it depresses those responses. Nicotine is a psychoactive substance found in tobacco.

Question 8

A pregnant woman,who admits to intravenous drug use,had a negative human immunodeficiency virus (HIV)screening test just after missing her first menstrual period.Which assessment data would indicate the client needs to be retested for HIV?

Accepted Answer

A) The client who is HIV-positive would have a suppressed immune system and would experience symptoms of fatigue and opportunistic infections such as oral thrush. The client with HIV would be anemic and anorexic. The client would have a decrease in blood pressure, and no ankle edema. Shortness of breath and frequent urination do not indicate a need to retest for HIV.
B) The client who is HIV-positive would have a suppressed immune system and would experience symptoms of fatigue and opportunistic infections such as oral thrush. The client with HIV would be anemic and anorexic. The client would have a decrease in blood pressure, and no ankle edema. Shortness of breath and frequent urination do not indicate a need to retest for HIV.
C) The client who is HIV-positive would have a suppressed immune system and would experience symptoms of fatigue and opportunistic infections such as oral thrush. The client with HIV would be anemic and anorexic. The client would have a decrease in blood pressure, and no ankle edema. Shortness of breath and frequent urination do not indicate a need to retest for HIV.
D) The client who is HIV-positive would have a suppressed immune system and would experience symptoms of fatigue and opportunistic infections such as oral thrush. The client with HIV would be anemic and anorexic. The client would have a decrease in blood pressure, and no ankle edema. Shortness of breath and frequent urination do not indicate a need to retest for HIV.

Question 9

The nurse is doing preconception counseling with an adult client with no prior pregnancies.Which client statement indicates that teaching has been effective?

Accepted Answer

A) Women should discontinue drinking alcohol when they attempt to become pregnant. It is not known how much alcohol will cause fetal damage; therefore, any amount of alcohol, even one beer, during pregnancy is contraindicated. Alcohol passes readily into breast milk; therefore, it should be avoided, or the milk should be pumped and dumped after alcohol consumption.
B) Women should discontinue drinking alcohol when they attempt to become pregnant. It is not known how much alcohol will cause fetal damage; therefore, any amount of alcohol, even one beer, during pregnancy is contraindicated. Alcohol passes readily into breast milk; therefore, it should be avoided, or the milk should be pumped and dumped after alcohol consumption.
C) Women should discontinue drinking alcohol when they attempt to become pregnant. It is not known how much alcohol will cause fetal damage; therefore, any amount of alcohol, even one beer, during pregnancy is contraindicated. Alcohol passes readily into breast milk; therefore, it should be avoided, or the milk should be pumped and dumped after alcohol consumption.
D) Women should discontinue drinking alcohol when they attempt to become pregnant. It is not known how much alcohol will cause fetal damage; therefore, any amount of alcohol, even one beer, during pregnancy is contraindicated. Alcohol passes readily into breast milk; therefore, it should be avoided, or the milk should be pumped and dumped after alcohol consumption.

Question 10

The nurse is caring for a client who is diagnosed with a cocaine addiction.For which additional disorder should the nurse assess this client?

Accepted Answer

A) Anxiety and depressive disorders frequently occur with substance abuse. More than 90% of individuals who commit suicide have a depressive or substance abuse disorder. Weight gain, diabetes, and kidney stones are not linked to substance abuse.
B) Anxiety and depressive disorders frequently occur with substance abuse. More than 90% of individuals who commit suicide have a depressive or substance abuse disorder. Weight gain, diabetes, and kidney stones are not linked to substance abuse.
C) Anxiety and depressive disorders frequently occur with substance abuse. More than 90% of individuals who commit suicide have a depressive or substance abuse disorder. Weight gain, diabetes, and kidney stones are not linked to substance abuse.
D) Anxiety and depressive disorders frequently occur with substance abuse. More than 90% of individuals who commit suicide have a depressive or substance abuse disorder. Weight gain, diabetes, and kidney stones are not linked to substance abuse.

Question 11

The nurse is caring for a pregnant woman who admits to using Ecstasy on a regular basis.The client states,"Everybody knows that alcohol is bad during pregnancy,but what's the big deal about Ecstasy?" Which response by the nurse is appropriate?

Accepted Answer

A) Little is known about the effects of Ecstasy on pregnancy. Preliminary research does suggest that ecstasy is associated with long-term impaired memory and learning in the child. The impact on the timing of Ecstasy use by the pregnant woman during critical brain development may be a critical issue. Alcohol use, not Ecstasy use, by a pregnant woman causes deficiencies of thiamine and folic acid. Folic acid helps prevent neural tube defects. Cocaine use by a pregnant woman can cause the baby to have a small head and brain alterations. Heroin use by a pregnant woman can cause intrauterine growth restriction and meconium aspiration.
B) Little is known about the effects of Ecstasy on pregnancy. Preliminary research does suggest that ecstasy is associated with long-term impaired memory and learning in the child. The impact on the timing of Ecstasy use by the pregnant woman during critical brain development may be a critical issue. Alcohol use, not Ecstasy use, by a pregnant woman causes deficiencies of thiamine and folic acid. Folic acid helps prevent neural tube defects. Cocaine use by a pregnant woman can cause the baby to have a small head and brain alterations. Heroin use by a pregnant woman can cause intrauterine growth restriction and meconium aspiration.
C) Little is known about the effects of Ecstasy on pregnancy. Preliminary research does suggest that ecstasy is associated with long-term impaired memory and learning in the child. The impact on the timing of Ecstasy use by the pregnant woman during critical brain development may be a critical issue. Alcohol use, not Ecstasy use, by a pregnant woman causes deficiencies of thiamine and folic acid. Folic acid helps prevent neural tube defects. Cocaine use by a pregnant woman can cause the baby to have a small head and brain alterations. Heroin use by a pregnant woman can cause intrauterine growth restriction and meconium aspiration.
D) Little is known about the effects of Ecstasy on pregnancy. Preliminary research does suggest that ecstasy is associated with long-term impaired memory and learning in the child. The impact on the timing of Ecstasy use by the pregnant woman during critical brain development may be a critical issue. Alcohol use, not Ecstasy use, by a pregnant woman causes deficiencies of thiamine and folic acid. Folic acid helps prevent neural tube defects. Cocaine use by a pregnant woman can cause the baby to have a small head and brain alterations. Heroin use by a pregnant woman can cause intrauterine growth restriction and meconium aspiration.

Question 12

A young adult client is at 28 weeks' gestation.The prenatal history reveals past drug abuse,and urine screening indicates that she has recently used heroin.Which potential fetal health problem should the nurse use to select a nursing diagnosis to guide care?

Accepted Answer

A) Women who use heroin place the fetus at an increased risk for developing intrauterine growth restriction (IUGR). Congenital anomalies often occur with the use of lithium during pregnancy. Diabetes is an endocrine disorder that is unrelated to drug use and abuse. Abruptio placentae is a condition the mother can experience and is seen more commonly with cocaine and crack use.
B) Women who use heroin place the fetus at an increased risk for developing intrauterine growth restriction (IUGR). Congenital anomalies often occur with the use of lithium during pregnancy. Diabetes is an endocrine disorder that is unrelated to drug use and abuse. Abruptio placentae is a condition the mother can experience and is seen more commonly with cocaine and crack use.
C) Women who use heroin place the fetus at an increased risk for developing intrauterine growth restriction (IUGR). Congenital anomalies often occur with the use of lithium during pregnancy. Diabetes is an endocrine disorder that is unrelated to drug use and abuse. Abruptio placentae is a condition the mother can experience and is seen more commonly with cocaine and crack use.
D) Women who use heroin place the fetus at an increased risk for developing intrauterine growth restriction (IUGR). Congenital anomalies often occur with the use of lithium during pregnancy. Diabetes is an endocrine disorder that is unrelated to drug use and abuse. Abruptio placentae is a condition the mother can experience and is seen more commonly with cocaine and crack use.

Question 13

A nursing instructor is teaching a class about the role of dopamine in substance abuse.Which student statement indicates appropriate understanding?

Accepted Answer

A) Although most studies have focused on the role of dopamine D(1) and dopamine D(2) receptors in sustaining the addictive danger of drugs, recent studies also have shown that the dopamine D(3) receptor is involved in drug-seeking behavior. Ethanol, not dopamine, increases opioid transmission and reinforces the cycle of substance abuse. Dopamine does not cause changes in brain neurotransmission that enhance the cycle of substance abuse. D(1) and D(2) receptors are not responsible for co-occurring disorders.
B) Although most studies have focused on the role of dopamine D(1) and dopamine D(2) receptors in sustaining the addictive danger of drugs, recent studies also have shown that the dopamine D(3) receptor is involved in drug-seeking behavior. Ethanol, not dopamine, increases opioid transmission and reinforces the cycle of substance abuse. Dopamine does not cause changes in brain neurotransmission that enhance the cycle of substance abuse. D(1) and D(2) receptors are not responsible for co-occurring disorders.
C) Although most studies have focused on the role of dopamine D(1) and dopamine D(2) receptors in sustaining the addictive danger of drugs, recent studies also have shown that the dopamine D(3) receptor is involved in drug-seeking behavior. Ethanol, not dopamine, increases opioid transmission and reinforces the cycle of substance abuse. Dopamine does not cause changes in brain neurotransmission that enhance the cycle of substance abuse. D(1) and D(2) receptors are not responsible for co-occurring disorders.
D) Although most studies have focused on the role of dopamine D(1) and dopamine D(2) receptors in sustaining the addictive danger of drugs, recent studies also have shown that the dopamine D(3) receptor is involved in drug-seeking behavior. Ethanol, not dopamine, increases opioid transmission and reinforces the cycle of substance abuse. Dopamine does not cause changes in brain neurotransmission that enhance the cycle of substance abuse. D(1) and D(2) receptors are not responsible for co-occurring disorders.

Question 14

A nurse working in an outpatient primary care clinic is caring for a client with asthma who has an 80 pack-year smoking history.When assessing the client's current use of nicotine,which question is most appropriate?

Accepted Answer

A) Appropriate assessment questions should be open-ended and allow the client to elaborate on the answers. "Tell me about any attempts you've made to quit using nicotine" is the only open-ended phrase that is effective in assessing this client.
B) Appropriate assessment questions should be open-ended and allow the client to elaborate on the answers. "Tell me about any attempts you've made to quit using nicotine" is the only open-ended phrase that is effective in assessing this client.
C) Appropriate assessment questions should be open-ended and allow the client to elaborate on the answers. "Tell me about any attempts you've made to quit using nicotine" is the only open-ended phrase that is effective in assessing this client.
D) Appropriate assessment questions should be open-ended and allow the client to elaborate on the answers. "Tell me about any attempts you've made to quit using nicotine" is the only open-ended phrase that is effective in assessing this client.

Question 15

A nurse works at a clinic which provides care to a community which has a high population of smokers.The nurse is planning an educational session on "Tips to Quit." Which action by the nurse is appropriate?

Accepted Answer

A) Available pharmacologic adjuncts for smoking cessation should be discussed in a "Tips to Quit" community talk. Simply telling the group that smoking is unacceptable is not effective in promoting wellness. Discussing esophageal cancer and liver disease is inappropriate for a single educational session; lung cancer and cardiovascular disease are the primary health threats that should be discussed.
B) Available pharmacologic adjuncts for smoking cessation should be discussed in a "Tips to Quit" community talk. Simply telling the group that smoking is unacceptable is not effective in promoting wellness. Discussing esophageal cancer and liver disease is inappropriate for a single educational session; lung cancer and cardiovascular disease are the primary health threats that should be discussed.
C) Available pharmacologic adjuncts for smoking cessation should be discussed in a "Tips to Quit" community talk. Simply telling the group that smoking is unacceptable is not effective in promoting wellness. Discussing esophageal cancer and liver disease is inappropriate for a single educational session; lung cancer and cardiovascular disease are the primary health threats that should be discussed.
D) Available pharmacologic adjuncts for smoking cessation should be discussed in a "Tips to Quit" community talk. Simply telling the group that smoking is unacceptable is not effective in promoting wellness. Discussing esophageal cancer and liver disease is inappropriate for a single educational session; lung cancer and cardiovascular disease are the primary health threats that should be discussed.

Question 16

The nurse is collecting data on prenatal clients at a clinic on a Native American reservation in Arizona.One client has risk factors for substance abuse.What physical sign or signs did the nurse assess that suggest substance abuse in this client? Select all that apply.

Accepted Answer

A) Physical signs of substance abuse include dilated or constricted pupils, inflamed nasal mucosa, evidence of needle "track marks" or abscesses, poor nutritional status, slurred speech or staggering gait, and an odor of alcohol on the breath. Frequent accidents or falls are behavioral signs of substance abuse. Wearing a jeans and t-shirt is not indicative of substance abuse.
B) Physical signs of substance abuse include dilated or constricted pupils, inflamed nasal mucosa, evidence of needle "track marks" or abscesses, poor nutritional status, slurred speech or staggering gait, and an odor of alcohol on the breath. Frequent accidents or falls are behavioral signs of substance abuse. Wearing a jeans and t-shirt is not indicative of substance abuse.
C) Physical signs of substance abuse include dilated or constricted pupils, inflamed nasal mucosa, evidence of needle "track marks" or abscesses, poor nutritional status, slurred speech or staggering gait, and an odor of alcohol on the breath. Frequent accidents or falls are behavioral signs of substance abuse. Wearing a jeans and t-shirt is not indicative of substance abuse.
D) Physical signs of substance abuse include dilated or constricted pupils, inflamed nasal mucosa, evidence of needle "track marks" or abscesses, poor nutritional status, slurred speech or staggering gait, and an odor of alcohol on the breath. Frequent accidents or falls are behavioral signs of substance abuse. Wearing a jeans and t-shirt is not indicative of substance abuse.
E) Physical signs of substance abuse include dilated or constricted pupils, inflamed nasal mucosa, evidence of needle "track marks" or abscesses, poor nutritional status, slurred speech or staggering gait, and an odor of alcohol on the breath. Frequent accidents or falls are behavioral signs of substance abuse. Wearing a jeans and t-shirt is not indicative of substance abuse.

Question 17

The nurse is providing care to a pregnant client during a prenatal visit.The nurse suspects that the client has used cocaine.Which clinical manifestations support the nurse's suspicion? Select all that apply.

Accepted Answer

A) Acute cocaine intoxication manifests as muscle jerking, hypertension, decreased appetite, dilated pupils, and tachycardia.
B) Acute cocaine intoxication manifests as muscle jerking, hypertension, decreased appetite, dilated pupils, and tachycardia.
C) Acute cocaine intoxication manifests as muscle jerking, hypertension, decreased appetite, dilated pupils, and tachycardia.
D) Acute cocaine intoxication manifests as muscle jerking, hypertension, decreased appetite, dilated pupils, and tachycardia.
E) Acute cocaine intoxication manifests as muscle jerking, hypertension, decreased appetite, dilated pupils, and tachycardia.

Question 18

A young adult pregnant client tells the nurse that she and her husband are going to a 50th wedding anniversary party for her grandparents this weekend.The client asks the nurse if it will be okay to have a few glasses of wine at the party.Which response by the nurse is appropriate?

Accepted Answer

A) Drinking any alcohol, no matter what type and what quantity, during pregnancy increases the risk for accidents and damage to the infant. Mothers are encouraged to drink no alcohol at all during pregnancy. Wine can put the mother and fetus at risk as much as hard liquor.
B) Drinking any alcohol, no matter what type and what quantity, during pregnancy increases the risk for accidents and damage to the infant. Mothers are encouraged to drink no alcohol at all during pregnancy. Wine can put the mother and fetus at risk as much as hard liquor.
C) Drinking any alcohol, no matter what type and what quantity, during pregnancy increases the risk for accidents and damage to the infant. Mothers are encouraged to drink no alcohol at all during pregnancy. Wine can put the mother and fetus at risk as much as hard liquor.
D) Drinking any alcohol, no matter what type and what quantity, during pregnancy increases the risk for accidents and damage to the infant. Mothers are encouraged to drink no alcohol at all during pregnancy. Wine can put the mother and fetus at risk as much as hard liquor.

Question 19

The nurse is planning care for a client with esophageal cancer due to years of nicotine abuse.Which is the priority nursing diagnosis for this client?

Accepted Answer

A) The nurse should anticipate that the client with esophageal cancer may have issues with airway edema and therefore an ineffective airway clearance. This is the priority nursing diagnosis of those listed. There is no evidence that the client has a disturbed body image or experiences decisional conflict or social isolation.
B) The nurse should anticipate that the client with esophageal cancer may have issues with airway edema and therefore an ineffective airway clearance. This is the priority nursing diagnosis of those listed. There is no evidence that the client has a disturbed body image or experiences decisional conflict or social isolation.
C) The nurse should anticipate that the client with esophageal cancer may have issues with airway edema and therefore an ineffective airway clearance. This is the priority nursing diagnosis of those listed. There is no evidence that the client has a disturbed body image or experiences decisional conflict or social isolation.
D) The nurse should anticipate that the client with esophageal cancer may have issues with airway edema and therefore an ineffective airway clearance. This is the priority nursing diagnosis of those listed. There is no evidence that the client has a disturbed body image or experiences decisional conflict or social isolation.

Question 20

A nurse is caring for a client who is pregnant and requires IV antibiotic therapy for treatment of pyelonephritis.Prior to administering the medication,the nurse discovers the medication is Category B for pregnancy.When planning care for this client,which will the nurse take into consideration regarding this medication?

Accepted Answer

A) To provide information for caregivers and clients, the U.S. Food and Drug Administration (FDA) has developed a classification system for all medications administered during pregnancy. This system can be used to help determine the risk of prenatal substance exposure from use of legal medications whether they are abused or prescribed by a physician. In Category C, there have been no controlled studies in women in particular, but controlled human studies have failed to demonstrate a risk. The other choices are for additional classifications, not Category C.
B) To provide information for caregivers and clients, the U.S. Food and Drug Administration (FDA) has developed a classification system for all medications administered during pregnancy. This system can be used to help determine the risk of prenatal substance exposure from use of legal medications whether they are abused or prescribed by a physician. In Category C, there have been no controlled studies in women in particular, but controlled human studies have failed to demonstrate a risk. The other choices are for additional classifications, not Category C.
C) To provide information for caregivers and clients, the U.S. Food and Drug Administration (FDA) has developed a classification system for all medications administered during pregnancy. This system can be used to help determine the risk of prenatal substance exposure from use of legal medications whether they are abused or prescribed by a physician. In Category C, there have been no controlled studies in women in particular, but controlled human studies have failed to demonstrate a risk. The other choices are for additional classifications, not Category C.
D) To provide information for caregivers and clients, the U.S. Food and Drug Administration (FDA) has developed a classification system for all medications administered during pregnancy. This system can be used to help determine the risk of prenatal substance exposure from use of legal medications whether they are abused or prescribed by a physician. In Category C, there have been no controlled studies in women in particular, but controlled human studies have failed to demonstrate a risk. The other choices are for additional classifications, not Category C.

Quiz 22: Addiction