Chapter 39: Drug Abuse III: Major Drugs of Abuse (Other Than Alcohol)

Chapter 39: Drug Abuse III: Major Drugs of Abuse (Other Than Alcohol)

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. A nurse is teaching a drug prevention class to a group of high school students. Which of the following drugs is commonly used by opioid abusers “on the streets”?

a.	Oxycodone
b.	Morphine sulfate
c.	Hydromorphone
d.	Heroin

 

 

ANS:   D

Among street users, heroin is the opioid of choice. It is easy to procure and is taken by about 90% of opioid abusers.

Oxycodone, morphine sulfate, and hydromorphone are not the drugs of choice for street users of opioid drugs.

 

DIF:    Cognitive Level: Comprehension      REF:    p. 422

TOP:    Nursing Process: Diagnosis

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. A clinician prescribes clonidine (Catapres) for a patient withdrawing from opioids. When explaining the rationale for this drug choice, the nurse should inform the patient that which of the following effects is the role of clonidine (Catapres) in opioid withdrawal?

a.	Relieve symptoms of nausea, vomiting, and diarrhea.
b.	Stimulate autonomic activity.
c.	Reduce somnolence and drowsiness.
d.	Prevent opioid craving.

 

 

ANS:   A

When administered to an individual physically dependent on opioids, clonidine can suppress some symptoms of abstinence. Clonidine is most effective against symptoms related to autonomic hyperactivity, including nausea, vomiting, and diarrhea.

Clonidine does not stimulate autonomic activity. It is effective against symptoms of autonomic hyperactivity.

Clonidine does not reduce somnolence and drowsiness.

Clonidine does not prevent opioid craving.

 

DIF:    Cognitive Level: Application             REF:    p. 424

TOP:    Nursing Process: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. A public health nurse prepares a teaching plan to address the health problems of a group of opioid-dependent patients. What should be the nurse’s priority focus?

a.	Management of acute overdoses
b.	Prevention of infections
c.	Recognition of contaminated drugs
d.	Ways to cope with hyperactivity and irritability

 

 

ANS:   B

Infections that occur secondary to the sharing of unsterile needles are common in opioid-dependent patients. The infections that opioid abusers commonly acquire include septicemia, subcutaneous ulcers, tuberculosis, hepatitis C, and human immunodeficiency virus.

Teaching patients how to manage an overdose is important but not the priority. The nurse’s focus is on preventing disease in the community.

Recognizing contaminated drugs is also important but not a priority.

Ways to cope with hyperactivity and irritability are important topics for the nurse to cover, but they are not the priority in this situation.

 

DIF:    Cognitive Level: Application             REF:    p. 425

TOP:    Nursing Process: Planning

MSC:   NCLEX Client Needs Category: Physiological Integrity: Reduction of Risk Potential