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Substance Related Disorders- Nclex Questions and Answers Latest Version 100% Pass A nurse is caring for a client experiencing alcohol withdrawal. Which symptom should the nurse expect to see first?
- Delusions and hallucinations
- Seizures and coma
- Cardiac arrest
✔✔ B. Tremors and restlessness
Which nursing intervention is most important during acute opioid withdrawal?✔✔ A. Monitor vital signs and provide comfort measures
- Encourage more opioid use to ease symptoms
- Limit fluids and mobility
- Offer caffeinated beverages for alertness
A client asks why they can't stop using cocaine despite negative effects. The nurse understands
this is due to:
- Curiosity and boredom 1 / 3
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✔✔ B. Brain reward system activation and dopamine release
- Muscle fatigue
- Peer encouragement
A nurse is teaching a group of adolescents about substance abuse. What should the nurse emphasize?✔✔ A. Early use increases the risk of addiction and mental health problems
- Occasional use is harmless
- Prescription drugs are always safe
- Substance use builds character
During a routine check, a nurse notices pinpoint pupils, drowsiness, and slow breathing. Which substance might the client be using?✔✔ A. Opioids
- Stimulants
- Hallucinogens
- Cannabis
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Which of the following is a therapeutic goal for a client in substance abuse treatment?
- Avoid talking about triggers
- Increase use of different substances
- Depend on willpower only
✔✔ B. Identify and manage high-risk situations
The nurse identifies the client is in denial about substance use. What is the best response?
- “You’re clearly addicted.”
- “You should feel ashamed.”
- “You’ll be discharged if you don’t stop.”
✔✔ C. “Can you help me understand your concerns about quitting?”
What is the priority action for a nurse caring for a client who overdosed on heroin?✔✔ A. Maintain airway and support breathing
- Give food to prevent nausea
- Provide pain medications
- Apply cold compresses
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