A nurse is teaching a group of nursing students about drug abuse. Which statement by a student indicates a need for further teaching?
a. "Patients who experience physical depen-dence will show compulsive drug-seeking behavior."
b. "People who are addicted to a drug do not necessarily have tolerance to that drug."
c. "Physical dependence means that absti-nence syndrome will occur if a drug is withdrawn."
d. "Physical dependence often contributes to addictive behavior but does not cause it."
A
Physical dependence occurs with prolonged drug exposure and, through neuroadaptive processes, results in abstinence syndrome if a drug is withdrawn. It does not necessarily result in compulsive drug-seeking behavior. Patients can have drug addiction, which involves compulsive drug seeking without having developed a tolerance to drug effects. Addictive behavior is the result of psychologic dependence with an intense subjective need for a drug. Because abstinence syn-drome is uncomfortable, physical dependence can increase subjective feelings for a drug.
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As long as the client is limiting her behaviors to verbal assaults and harmless physical movements:
a. She is placed in seclusion. b. The acting out may continue. c. The caregiver is prepared to apply restraints. d. She is reminded of the inappropriateness of her behavior.
The nurse is preparing to administer surfactant (Survanta) 4 mg/kg every 12 hours for 2 days. The newborn weighs 2,300 g. How many milligram of the medication will the newborn receive for all of the doses?
(Numeric value only. Round to the nearest tenth decimal point.)
The client has been ordered treatment with lansoprazole. The client is being treated for a duodenal ulcer. Because the drug is being used to treat this condition, the nurse anticipates that the client will be ordered:
a. 15 mg daily as maintenance. b. 30 mg daily for 8 weeks. c. 15 mg daily for 4 weeks. d. 30 mg twice daily for 2 weeks.
Which of the following statements made by a nurse discussing the effect of an antibiotic on the gastrointestinal system reflects the best understanding of the possible occurrence of diarrhea?
1. "The GI tract naturally rids itself of bacterial toxins by increasing peristalsis, and that causes diarrhea." 2. "The antibiotic is responsible for killing off the GI tract's normal bacterial, and diarrhea is the result." 3. "For some, antibiotics irritate the mucous lining of the intestines, causing de-creased absorption and diarrhea." 4. "When you are taking an antibiotic, your body is fighting off an infection, and peristalsis is faster and so diarrhea occurs."