To effectively teach the client about cross tolerance and alcohol, benzodiazepines, and barbiturates,
the nurse must understand that these drugs act on the
a. dopamine system.
b. ?-aminobutyric acid system.
c. opioid system.
d. serotonin system.
B
The nurse must be able to explain that alcohol and other CNS depressants act on ?-aminobutyric acid
receptors. Because the receptor sites are the same for each of these classes of drugs, cross tolerance
and cross addiction readily occur. Clients need this information to avoid the pitfalls of inappropriate
medication usage. Option A: This system is affected by neuroleptics. Option B: This system is
affected by opioids and synthetic opioids. Option D: This system is affected by selected
antidepressant medication.
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The nurse suspects the diabetic patient may be having a hypoglycemic reaction when what manifestation is assessed?
A) Dry, flaky skin B) Diaphoresis C) Flushing of the face D) Fruity breath
The process of performance appraisal includes (select all that apply):
a. setting goals. b. disciplinary action. c. assessing progress. d. evaluating performance. e. determining merit raises.
A high ammonia level contributes to hepatic encephalopathy. As this level increases, the nursing implementation that needs to be added to the nursing care plan is:
1. mouth care. 2. seizure precautions. 3. oxygen saturation monitoring. 4. intake and output.
What information will the nurse want to question specifically for the adolescent who was just informed she is pregnant?
1. Last menstrual period 2. Dietary habits 3. Use of substances such as drugs, alcohol, and tobacco 4. Previous reproductive history