Response
Feedback
:
Abrupt withdrawal from long-term use of sedative–hypnotic drugs
should never be attempted because withdrawal symptoms are
serious and potentially fatal. Withdrawal symptoms include agitation,
dysphoria, insomnia, vomiting, diarrhea, ataxia, hallucinations, acute
psychosis, muscle and abdominal cramps, anorexia, and seizures.
These symptoms may occur 12 to 72 hours after the last use of the
drug and may last up to 14 days. The abrupt withdrawal of
benzodiazepines, opioids, and amphetamines does not cause such
severe and potentially fatal withdrawal symptoms.
Question 5
1 out of 1 points
A nurse who provides care on an acute medicine unit has frequently recommended
the use of nicotine replacement gum for patients who express a willingness to quit
smoking during their admission or following their discharge. For which of the
following patients would nicotine gum be contraindicated?
Response
Feedback
:
Nicotine in any dosage form should not be used in patients
immediately after myocardial infarction, or in those with life-
threatening arrhythmias or severe or worsening angina pectoris.
Antibiotics, anticoagulants, and renal failure are not contraindications
for the use of nicotine as an aid to smoking cessation.
Question 6
1 out of 1 points
A trauma patient has been receiving frequent doses of morphine in the 6 days since
his accident. This pattern of analgesic administration should prompt the nurse to
carefully monitor the patient's
Response
Feedback:
Morphine, like most opioid analgesics, creates a risk for
constipation. The drug is unlikely to influence the patient's
temperature, skin integrity, or urine specific gravity.
Question 7
1 out of 1 points
A 64-year-old-patient has been prescribed lorazepam (Ativan) because of
increasing periods of anxiety. The nurse should be careful to assess for

Response
Feedback
:
The patient who has history of alcohol or substance abuse may be a
poor candidate for lorazepam because the patient is more likely to
develop dependence on the drug. Alcohol will also have an additive
effect with lorazepam. A diet high in fat and carbohydrates or nicotine
use should not affect the use of lorazepam.
Question 8
1 out of 1 points
A patient who is experiencing withdrawal from heavy alcohol use have developed
psychosis and been treated with haloperidol. Which of the following assessment
findings should prompt the care team to assess the patient for neuroleptic malignant
syndrome?


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- Spring '17
- adverse effects, Phenytoin, Lorazepam