Author Question: A client's medical record indicates that she has a previous diagnosis of substance use disorder. ... (Read 37 times)

khang · **on:** Jul 19, 2018

A client's medical record indicates that she has a previous diagnosis of substance use disorder. Which of the following is the best description of the term substance use disorders, according to the American Psychiatric Association?

A) Indicates that the client experiences tolerance and withdrawal symptoms
B) Is an umbrella term for substance abuse and substance dependence
C) Indicates that the client does not experience tolerance and withdrawal symptoms
D) Indicates that the client has a medical reason for taking the substance

Question 2

A client with schizophrenia has been found to have drunk copious quantities of water while completing his morning hygiene in the bathroom and he is showing behavioral signs or intoxication.

What action should the nurse prioritize in the immediate care of this client?
A) Monitoring of oxygen levels by continuous pulse oximetry
B) Mental status assessment and administration of a PRN dose of antipsychotics
C) Assessment of sodium levels and administration of IV normal saline
D) Blood pressure monitoring and administration of a KCl-enriched IV solution

mohan · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: B
Feedback:
Substance use disorders, as defined by the American Psychiatric Association (APA, 2000), is an umbrella term for substance abuse and substance dependence.

Answer to Question 2

Ans: C
Feedback:
Treatment of severe water intoxication involves the administration of furosemide (Lasix) and intravenous (IV) normal saline. Vital signs should be measured and monitored but the immediate priority is restoring fluid and sodium balance. Antipsychotics will not resolve water intoxication and the accompanying sodium imbalance.