NUR2488IMental IHealthINursingIExamI3

• QuestionI1

A IpatientIwith Ia Ihistory Iof Icocaine Iuse Ireports Ia Iconcurrent

IhistoryIofIusing IotherIdrugs Iin IorderIto IcounteractIthe Ieffects Iof

Icocaine.

WhichIdrugIisIthisIpatientIlikelyItoIhaveIabused?

Selecte

d

IAnswe

r

:

Alcohol

Answers: PCP

IAlco

hIol

MethylphenI

iIdate

Caffeine

ResponsI

e

IFeedba

cIk:

Alcohol Iis Ia IdepressantIwhich Ican Ineutralize Ithe Ieffects

IofIcocaine,Iwhich Iis Ia Istimulant.ICaffeine,Imethylphenidate

I(used Ito ItreatIADHD) Iand Ithe Iillegal Idrug IPCP Iare Ialso

Istimulating IandIwouldIonly Iexacerbate ItheIeffects Iof

Icocaine.

• QuestionI2

AIpatientIis IadmittedIwith Ia IheartIrateIofI53 Ibpm,Irespirations I6/min,Itemp

96.8 Iand Ipinpoint Ipupils. IBased Ion Ithese Iclinical

Imanifestations,IwhatIsubstance Idid Ithis IpatientImostIlikely Ioverdose

Ion?

Selecte

d

IAnswe

r

:

Marijuana

Answers: Opioids

IAlcohol

IMarijua

nIa

AmphetamIi

ne

ResponsI

e

IFeedba

cIk:

Opioids Iinclude Iprescribed Imedications Isuch Ias

Ioxycodone IandImorphine,IandItheIillegalIsubstanceIheroin.

ITheIabove Isymptoms IareItypicalIofIopioidIoverdose,Ibut

Iare InotItypically Iseen Iwith Imarijuana,IalcoholIor

Iamphetamines.

• QuestionI3

An Ielderly IclientIwith Icognitive IimpairmentIis Icombative Iand

IpulledIoutIa Inasogastric Itube,Iintravenous Iline,Iand Iindwelling

Iurinary Icatheter.IWhatIcanIthe InurseIanticipateIthatItheIhealthIcare

IproviderIwillImostIlikely Iprescribe?

Selected IAnswer:

A aIselectiveIserotonin

IreuptakeIinhibitor

s

I

m

Ia

Il

l

dI

oI

s I

e

oI

f