Substance use disorders

When caring for a patient with acute intoxication, the nurse will anticipate which medication?

• Insulin to reduce hyperglycemia

• Acetaminophen to reduce fever

• Thiamine to prevent Wernicke-Korsakoff syndrome

• Aspirin to reduce risk of myocardial infarction

A patient admitted to the hospital for lung cancer and a history of smoking a pack per day is preparing to be discharged. What should you ask the patient regarding smoking cessation if they are unwilling to quit smoking? (SATA)

• “Why is quitting relevant for you?"

• “Would you be willing to switch to e-cigarettes?”

• “What risks do you face related to your smoking?”

• "What benefits do you see if you stop smoking?”

A patient with acute alcohol toxicity is receiving lorazepam. Which of the following statements is correct about the purpose of this medication?

• Oral lorazepam is given to treat alcohol withdrawal seizures

• IV lorazepam is given to treat alcohol withdrawal seizures

• IV lorazepam is given to treat severe symptoms of alcohol withdrawal delirium

• Oral lorazepam is given to treat severe symptoms of alcohol withdrawal delirium

A patient with a history of methamphetamine use is experiencing tachycardia, restlessness, pupil dilation, and hyperthermia. Which of the following interventions is appropriate for this patient? (SATA)

• Ensure a patent airway

• Provide a calm, quiet environment

• Obtain a 12-lead ECG

• Utilize ice packs as needed

Which of the following statements made by a patient trying to quit smoking would cause the nurse to intervene and educate?

• “It will be hard to stop because my body craves nicotine, but it is important to cut out all forms of tobacco.”

• “If I focus on the benefits of quitting, I can remind myself how good I can feel if I stop smoking.”

• “When I start using the nicotine patch, I need to switch from smoking to dip and throw away all my cigarettes.”

• “Taking medication such as varenicline or bupropion may help me quit smoking.”

Flumazenil would be appropriate for which of the following?

• Opioid overdose

• Benzodiazepine overdose

• Alcohol overdose

• Cannabis overdose