A patient is brought to the emergency department (ED) by a friend. The patient is unresponsive and respirations are slow and shallow. Which of the
... [Show More] following is the priority intervention?
-Check the patient's blood glucose level
-Administer naloxone, per protocol
-Administer 100% oxygen per nasal cannula
-Ask the friend if they were using illicit drugs - correct answer -Administer 100% oxygen per nasal cannula
Which of the following assessment findings in a patient's health history supports a diagnosis of substance dependence?
-Numerous legal problems and interpersonal conflicts
-Withdrawal symptoms when not using the substance
-Impaired judgment and risk-taking behaviors
-Continued tardiness and absenteeism from work - correct answer -Withdrawal symptoms when not using the substance
A patient presents to the clinic with a report of fatigue and difficulty concentrating. Which additional statement made by the patient would alert the healthcare provider to possible marijuana use?
-"I feel nauseous and don't feel like eating."
-"I feel anxious and have trouble sleeping."
-"I've noticed that my eyes are red lately."
-"I keep having really vivid and scary nightmares." - correct answer -"I've noticed that my eyes are red lately."
Emergency medical personnel bring an unconscious patient to the emergency department. The patient's pupils are pinpoint and respirations are depressed. Intoxication of which of the following substances could contribute to these clinical signs?
-Methamphetamine
-Methadone
-Cocaine
-Ecstasy - correct answer -Methadone
A patient who has a history of chronic back pain requires a higher dose of an opioid medication in order to achieve adequate pain relief. The healthcare provider suspects that these findings are a result of which of the following?
-Dependence
-Pseudoaddiction
-Addiction
-Tolerance - correct answer -Tolerance
A patient is admitted to the medical unit after experiencing chest pain. Which of these additional findings would support a diagnosis of cocaine abuse?
-Jaundice
-Hypotension
-Perforated nasal septum
-Profuse diarrhea - correct answer -Perforated nasal septum
'pseudo-addiction?' - correct answer A condition where a patient is experiencing severe pain, as a result of a chronic illness but the signs and symptoms of this are misunderstood. Carers and other healthcare professionals may interpret the patient's request for painkillers as a form of addiction.
Perforated nasal septum - correct answer Where the cartilaginous membrane dividing the nostrils, develops a hole or fissure.
Which of the following goals would the healthcare provider identify as realistic for a patient with a substance abuse problem?
-Explore genetic anomalies associated with substance abuse
-Use the substance only in moderation and in certain situations
-Identify situations that trigger a desire to use the substance
-Focus on how cravings can be eliminated by enhancing willpower - correct answer -Identify situations that trigger a desire to use the substance
A patient who overdosed on oxycodone is given naloxone. When assessing the patient, the healthcare provider would anticipate which of these clinical manifestations of opioid withdrawal?
-Bradycardia and hyporthermia
-Irritability and nausea
-Hyperthermia and euphoria
-Depressed respirations and somnolence - correct answer -Irritability and nausea
Hypothermia - correct answer Abnormally low body temp.
Bradycardia - correct answer Abnormally slow heart action.
A patient is brought to the emergency department by a family member. The patient has been agitated for the past several hours and has alternated between grandiosity and expressing a desire to commit suicide. Upon examination, the patient is diaphoretic, hypertensive, and tachycardic. Intoxication with which of the following substances would contribute to these symptoms?
-Methamphetamine
-Benzodiazepine
-Marijuana
-Alcohol - correct answer -Methamphetamine
Diaphoretic - correct answer Inducing perspiration, excessive sweating.
Tachycardia - correct answer Abnormally fast heart rate
Hypertensive (High blood pressure) - correct answer A condition in which the force of the blood against the artery walls is too high.
A patient reports smoking 10 cigarettes per day for 40 years. How will the healthcare provider document this patient's smoking habit in terms of pack years?
-20 pack years
-10 pack years
-4 pack years
-5 pack years - correct answer -5 pack years
How many cigarettes are in a pack year? - correct answer 20 cigarettes a day for a yea [Show Less]