The nurse is teaching a class about drug abuse. He correctly teaches that molecular changes occur in the brain because of the major transmitter dopamine, which activates which of the following responses?

a. Physical dependence
b. Psychologic dependence
c. Reward circuit response
d. Euphoric response


ANS: C
The resultant release of dopamine rewards and reinforces the individual's behavior.
Physical dependence and psychologic dependence are associated with long-term use of drugs and abuse.
A euphoric response is associated with cocaine abuse.

Nursing

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Two units of PRBCs have been ordered for a patient who has experienced a GI bleed. The patient is highly reluctant to receive a transfusion, stating, "I'm terrified of getting AIDS from a blood transfusion."

How can the nurse best address the patient's concerns? A) "All the donated blood in the United States is treated with antiretroviral medications before it is used." B) "That did happen in some high-profile cases in the twentieth century, but it is no longer a possibility." C) "HIV was eradicated from the US blood supply in the early 2000s." D) "The chances of contracting AIDS from a blood transfusion in the United States are exceedingly low."

Nursing

Which principle of medication administration will be taught to a patient who will be administer-ing his own subQ injections?

1. Use a 22 G, 5/8-inch needle. 2. Rotate sites among the upper arm, abdomen, and anterior thigh. 3. Avoid injecting within 3 inches of a previous injection site. 4. Insert the needle at a 30-degree angle to the skin.

Nursing

A patient who has type 2 diabetes is scheduled

for an oral endoscopy and has been NPO (nothing by mouth) since midnight. What is the best action by the nurse regarding the administration of her oral antidiabetic drugs? a. Administer half the original dose. b. Withhold all medications as ordered. c. Contact the prescriber for further orders. d. Give the medication with a sip of water.

Nursing

Select the teaching point the nurse should include in the discharge instructions for a client with asthma about the mode of action of the home medication cromolyn sodium (Intal)

a. Produces bronchodilation b. Reduces the production of mucus c. Liquefies and thins thick mucus secretions so they can be coughed out d. Blocks the release of bronchoconstrictors from the mast cells

Nursing