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NURS 6052N QUIZ 5: WALDEN UNIVERSITY
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NURS 6052N QUIZ 5: WALDEN UNIVERSITY

Question 1

A nurse is caring for a patient who abuses marijuana. The treatment for marijuana abuse consists mainly of


Response Feedback:
Treatment for marijuana abuse consists mainly of nonpharmacologic interventions combined with an exercise program to help deal with withdrawal symptoms and cravings for the drug. Treatment of LSD and PCP use is necessary only when the user experiences a bad trip. Parlodel is given for cocaine addiction. Patients with acute inhalant intoxication may need respirator assistance.

Question 2

A patient is suffering from acute inhalant intoxication. The priority nursing intervention will be to


Response Feedback:
Patients suffering from acute inhalant intoxication may experience hypoxia from CNS depression; therefore, the patient will most likely be receiving oxygen therapy. Epinephrine is contraindicated because of possible cardiac stimulation. Arrhythmias may occur. Monitoring blood pressure and pulse is important; however, the patient could be short of breath due to the hypoxia. Therefore, monitoring respirations would be the priority. Nausea and vomiting could be present, and the nurse would need to provide the patient with an emesis basin, but it would not be the most important nursing intervention.


Question 3

A nurse works in a sleep disorder clinic and is responsible for administering medications to the patients. Which of the following patients would be most likely to receive zaleplon (Sonata)?


Response Feedback:
The nurse will most likely administer the zaleplon to the 35-year-old man who is having difficulty falling asleep, but once asleep can stay asleep. Zolpidem would most likely be administered to the 20-year-old who will take a sleep aid only once a week. Eszopiclone (Lunesta) will be given to the 52-year-old woman who needs to fall asleep quickly and has trouble staying asleep. The 46-year-old man will likely receive trazodone (Desyrel). This drug is given as a sleep aid for a patient who is taking an antidepressant.


Question 4

A patient who is experiencing acute alcohol withdrawal is being treated with intravenous lorazepam (Ativan). This drug achieves a therapeutic effect by


Response Feedback:
Like all benzodiazepines, lorazepam increases the effects of GABA, which has an inhibitory effect on the CNS. However, none of the benzodiazepines act like GABA or increase the amount of GABA present. MAOIs inhibit monoamine oxidase and tricyclic antidepressants primarily affect serotonin and norepinephrine levels. SSRIs increase the availability of serotonin in the synapses.


Question 5

A middle-aged patient was diagnosed with major depression after a suicide attempt several months ago and has failed to respond appreciably to treatment with SSRIs. As a result, his psychiatrist has prescribed phenelzine. When planning this patient's subsequent care, what nursing diagnosis should the nurse prioritize?


Response Feedback:
MAOIs such as phenelzine carry a significant risk of injury that results from the multiple interactions associated with these drugs. Infection, impaired tissue perfusion, and constipation are less common, and less serious, adverse effects.

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NURS 6052N QUIZ 5: WALDEN UNIVERSITY
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NURS 6052N QUIZ 5: WALDEN UNIVERSITY Question 1 A nurse is caring for a patient who abuses marijuana. The treatment for marijuana abuse consists mainly of Response Feedback: Treatment for marijuana abuse consists mainly of nonpharmacologic interventions combined with an exercise program to help deal with withdrawal symptoms and cravings for the drug. Treatment of LSD and PCP use is necessary only when the user experiences a bad trip. Parlodel is given for cocaine addiction. Patients with acute inhalant intoxication may need respirator assistance. Question 2 A patient is suffering from acute inhalant intoxication. The priority nursing intervention will be to Response Feedback: Patients suffering from acute inhalant intoxication may experience hypoxia from CNS depression; therefore, the patient will most likely be receiving oxygen therapy. Epinephrine is contraindicated because of possible cardiac stimulation. Arrhythmias may occur. Monitoring blood pressure and pulse is important; however, the patient could be short of breath due to the hypoxia. Therefore, monitoring respirations would be the priority. Nausea and vomiting could be present, and the nurse would need to provide the patient with an emesis basin, but it would not be the most important nursing intervention. Question 3 A nurse works in a sleep disorder clinic and is responsible for administering medications to the patients. Which of the following patients would be most likely to receive zaleplon (Sonata)? Response Feedback: The nurse will most likely administer the zaleplon to the 35-year-old man who is having difficulty falling asleep, but once asleep can stay asleep. Zolpidem would most likely be administered to the 20-year-old who will take a sleep aid only once a week. Eszopiclone (Lunesta) will be given to the 52-year-old woman who needs to fall asleep quickly and has trouble staying asleep. The 46-year-old man will likely receive trazodone (Desyrel). This drug is given as a sleep aid for a patient who is taking an antidepressant. Question 4 A patient who is experiencing acute alcohol withdrawal is being treated with intravenous lorazepam (Ativan). This drug achieves a therapeutic effect by Response Feedback: Like all benzodiazepines, lorazepam increases the effects of GABA, which has an inhibitory effect on the CNS. However, none of the benzodiazepines act like GABA or increase the amount of GABA present. MAOIs inhibit monoamine oxidase and tricyclic antidepressants primarily affect serotonin and norepinephrine levels. SSRIs increase the availability of serotonin in the synapses. Question 5 A middle-aged patient was diagnosed with major depression after a suicide attempt several months ago and has failed to respond appreciably to treatment with SSRIs. As a result, his psychiatrist has prescribed phenelzine. When planning this patient's subsequent care, what nursing diagnosis should the nurse prioritize? Response Feedback: MAOIs such as phenelzine carry a significant risk of injury that results from the multiple interactions associated with these drugs. Infection, impaired tissue perfusion, and constipation are less common, and less serious, adverse effects. Question 6 A nurse is caring for a patient who has been admitted with acute cocaine intoxication. Which of the following vital signs would the nurse expect to find initially when assessing the patient? Response Feedback: CNS stimulants like cocaine initially increase heart rate and blood pressure. Cocaine impairs the uptake of norepinephrine and epinephrine by presynaptic nerve endings, thus activating the adrenergic systems and causing hypertension, tachycardia, and vasoconstriction. Question 7 A patient with mild low back pain has been advised to take acetaminophen. The nurse will inform him that excessive intake of acetaminophen may result in Response Feedback: A patient taking acetaminophen should be taught the common adverse effects of the drug, which include rash, urticaria, and nausea. Nausea, not gastrointestinal distress, is a common adverse effect of acetaminophen. Flushing, dizziness, and feelings of tingling, heat, and fatigue are the most common adverse effects of sumatriptan, not acetaminophen. Question 8 A 26-year-old professional began using cocaine recreationally several months ago and has begun using the drug on a daily basis over the past few weeks. He has noticed that he now needs to take larger doses of cocaine in order to enjoy the same high that he used to experience when he first used the drug. A nurse should recognize that this pattern exemplifies Response Feedback: With drug use over time, tolerance develops. Tolerance occurs when the bo...
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