The client comes to the emergency department and tells the nurse, "I have been off my drugs for three days." The nurse assesses the client for withdrawal symptoms associated with the category of drug used
Withdrawal from which drug, if taken by the client, should cause the nurse the most concern?
1. Cocaine
2. Marijuana
3. Heroin
4. Secobarbital
Correct Answer: 4
Rationale 1: Withdrawal from cocaine is uncomfortable, but it is not life threatening.
Rationale 2: There is virtually no withdrawal from marijuana.
Rationale 3: Withdrawal from heroin is very unpleasant, but it is not life threatening.
Rationale 4: Secobarbital is a barbiturate. This drug, which is a central nervous system (CNS) depressant, will likely lead to the most life-threatening withdrawal symptoms in a client who has stopped taking it.
Global Rationale: Secobarbital is a barbiturate. This drug, which is a central nervous system (CNS) depressant, will likely lead to the most life-threatening withdrawal symptoms in a client who has stopped taking it. Withdrawal from cocaine is uncomfortable, but it is not life threatening. There is virtually no withdrawal from marijuana. Withdrawal from heroin is very unpleasant, but it is not life threatening.
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Which parent statement shows understanding of the cause of the child's genetic condition in such a way that the nurse can document that no further teaching about the cause is needed?
1. "I was angry on the day he was conceived; that is why he got this sickness." 2. "My nephews had chickenpox in my seventh month of pregnancy with my son, so that is how he got this way." 3. "My child has this disease because the code in the genes just changed, and it is no one's fault." 4. "Our child is like this because I sunbathed too much during the pregnancy when I carried him."
A patient is discharged from the hospital. To whom should all the medications the patient was taking that are classified as controlled substances be given?
a. The patient at discharge b. The patient's family at discharge c. The hospital pharmacy after the patient's discharge d. Another hospital patient after the patient's discharge
When assessing a patient for risks of having delirium or dementia, she should be aware that both are more likely to occur in:
1. children. 2. teenagers. 3. middle-aged adults. 4. older adults.
A tool used to screen adolescents for alcoholism is the:
a. CAGE. b. CRAFFT. c. PACES. d. HITS.