Quiz Mode allows you to practice the quiz as a real exam, you'll have a timer, answers will be hidden, you'll be allowed to fill your answers, get the result at the end and store your results.
The nurse is assessing a patient using the CAGE Questionnaire. The patient answers yes to all of the questions. The nurse suspects alcoholism and feels the patient is in denial when the patient states which of the following?
The patient may need help admitting that there is a problem. The CAGE is designed to objectively assist in assessing problems related to alcohol use. A patient who states they are going to meetings is admitting they have a problem even if they still drink. Admitting that quitting is difficult is acceptance that there is a problem. Reality is setting in for a patient who can see that family and friends are avoiding them.
A patient who was admitted 24 hours ago has become increasingly irritable and now says there are bugs on his bed. The nurse suspects
During the 6 to 96 hours after last alcohol use, patients may experience DTs, as evidenced by disorientation, nightmares, abdominal pain, nausea, and diaphoresis, as well as elevated temperature, pulse rate, and blood pressure measurement and visual and auditory hallucinations.
To prevent Wernickes encephalopathy from heavy alcohol use, the nurse anticipates an order for which medications?
The B vitamins will prevent or reverse Wernickes if given early enough. Benzodiazepines are often used to prevent and treat DTs and to decrease respiratory depression and hypertension. Vitamins C and D3 are not related to alcohol withdrawal. Klonopin is administered for hypertension and anxiety related to withdrawal.
The nurse is caring for a patient who is experiencing alcohol withdrawal. What is the main priority for this patient?
The nurse assesses the outcomes of a motivational interview on a patient with a dual diagnosis of alcoholism with DTs and determines that the communication was nontherapeutic. What should the nurses next priority be?
A 45-year-old man is brought to the emergency department presenting with a respiratory rate of 6 breaths/min, and cardiac dysrhythmias. The most appropriate question the nurse should ask the patients friend is
During history-taking, a patient tells the nurse that he is addicted to alprazolam (Xanax) and that he takes six 1 mg tablets a day. He quit cold turkey yesterday and now presents with extreme agitation, increased heart rate, and panic. The nurse suspects which disorder?
[Multiple Response] Strategies that a nurse could use in a motivational interview to increase the chances of change include which of the following? (Select all that apply.)
a. Educating the patient on the physical damage the substance is causing
b. Encouraging the patient to think of ways to change environmental triggers to abuse substances
c. Asking the patient how they think substance abuse affects their family life
d. Explaining to the patient that substance abuse affects everyone in the family and give examples
e. Asking the patient what methods they think would work and encouraging participating in self-help groups
[Multiple Response] The nurse recognizes a potential health threat to an alcoholic patient who is using the drug disulfiram (Antabuse) when the nurse reads in the health record that the patient is also which of the following? (Select all that apply.)
a. On blood thinners
b. Taking diphenhydramine (Benadryl) tablets
c. Ingesting alcohol
d. On penicillin
e. Using mouthwash