TEST BANK FOR LEWIS MEDICAL SURGICAL NURSING 11th EDITION BY HARDING QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS
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Module
Lewis medical surgical nursing 11th
Institution
Lewis Medical Surgical Nursing 11th
TEST BANK FOR LEWIS MEDICAL SURGICAL NURSING 11th EDITION BY HARDING QUESTIONS AND ANSWERS SATISFACTION GUARANTEED SUCCESS
Chapter 48: Substance Use Disorders
Test Bank MULTIPLE CHOICE
1. Which assessment finding would alert the nurse to ask the patient about alcohol use?
a. Low blood press...
TEST BANK FOR LEWIS MEDICAL SURGICAL NURSING 11th EDITION
BY HARDING QUESTIONS AND ANSWERS SATISFACTION
GUARANTEED SUCCESS
Chapter 48: Substance Use Disorders
Test Bank
MULTIPLE
CHOICE
1. Which assessment finding would alert the nurse to ask the patient about
alcohol use?
a. Low blood pressure
b. Decreased heart rate
c. Elevated temperature
d. Abdominal
tenderness ANS: D
Abdominal pain associated with gastrointestinal tract and liver dysfunction is
common in patients with chronic alcohol use. The other problems are not
associated with alcohol abuse.
3. A young adult patient scheduled for an annual physical examination
arrives in the clinic smelling of cigarette smoke and carrying a pack of
cigarettes. Which action will the nurse plan to take?
a. Urge the patient to quit smoking as soon as possible.
b. Avoid confronting the patient about smoking at this time.
,c. Wait for the patient to start the discussion about quitting smoking.
d. Explain that the cold turkey method is most effective in stopping
smoking.
ANS: A
Current national guidelines indicate that health care professionals should urge
patients who smoke to quit smoking at every encounter. The other actions will
not help decrease the patients health risks related to smoking.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and
Maintenance
4. A patient admitted to the hospital after an automobile accident is alert
and does not appear to be highly intoxicated. The blood alcohol
concentration (BAC) is 110 mg/dL (0.11 mg%). Which action by the nurse
is mostappropriate?
a. Avoid the use of IV fluids.
b. Maintain the patient on NPO status.
, c. Administer acetaminophen for headache.
d. Monitor frequently for anxiety, hyperreflexia, and sweating.
ANS: D
The patients assessment data indicate probable physiologic dependence on
alcohol, and the patient is likely to develop acute withdrawal such as anxiety,
hyperreflexia, and sweating, which could be life threatening.
Acetaminophen is not recommended because it is metabolized by the
liver. IV thiamine and IV glucose solutions usually are given to
intoxicated patients to prevent Wernickes encephalopathy, and there is
no indication that the patient should be NPO.
5. An alcohol-intoxicated patient with a penetrating wound to the abdomen is
undergoing emergency surgery. What will the nurse expect the patient to
need during the perioperative period?
a. An increased dose of the general anesthetic medication
b. Frequent monitoring for bleeding and respiratory complications
c. Interventions to prevent withdrawal symptoms within a few hours
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