A nurse is interviewing a client in an outpatient addiction clinic. To promote success in the recovery process, which outcome should the nurse expect the client to initially accomplish?
1. The client will identify one person to turn to for support.
2. The client will give up all old drinking buddies.
3. The client will be able to verbalize the effects of alcohol on the body.
4. The client will correlate life problems with alcohol use.
4
Rationale: The nurse should expect that the client would initially correlate life problems with alcohol addiction. Acceptance of the problem is the first part of the recovery process.
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When the nurse asks a 10-year-old Native American if he is ready to go to therapy, he does not answer immediately. How does the nurse interpret this response?
a. Indecision b. Considering the answer in silence c. Shyness with strangers d. Fear of medical personnel
A critically ill patient is receiving constant enteral nutrition. The physician orders sulcralfate (Carafate) 1 gram by enteral tube four times daily. To give this medication safely, what action does the nurse implement?
A) Flush the enteral tube with alkaline solution before and after medication administration. B) Hold enteral feeding for 30 minutes before and after medication administration. C) Infuse the medication slowly along with enteral feeding as long as no reflux occurs. D) Before giving the second dose, obtain a blood level of the medication.
What is an appropriate nursing action to implement when performing eye irrigation?
a. Ask the patient to tip up her head and run the irrigation fluid over her open eye. b. Direct the irrigating fluid from the inner canthus to the outer canthus. c. Not allow the patient to blink. d. Place the irrigating syringe directly onto the corner of the eye and allow the fluid to move across the eye.
A 5-year-old patient with a history of chronic otitis media complains of severe unilateral ear pain that worsens at night. The pain has progressively worsened over the past 3 days
Your examination reveals tenderness, erythema, and swelling below the right ear, and diminished hearing on the right. Which of the following is a likely diagnosis? A. Sinus infection B. Skull fracture C. Mastoiditis D. Foreign body