While assessing a man during a physical examination for work, the nurse suspects alcohol use. Which assessment tool is appropriate in this situation?
a. AUDIT screening tool
b. Rapid eye test
c. Mental status examination
d. Holmes Social Readjustment Rating Scale
ANS: A
You might also like to view...
X : 54 = 4 : 8
x = _____ a. 2.7 b. 108 c. 27 d. 0.5925
Which older client with a feeding tube would the nurse identify as being at the highest risk of dehydration?
1. The client's tube feeding totals 1,500 mL every 24 hours 2. Receiving 60 mL of water every 4 hours 3. Client has infrequent, loose stools 4. Receiving feedings with a formula that is 1.5 calories per mL
Mr. Stinson is a 34-year-old patient who presents to the emergency department after an auto accident. On examination, you note raccoon eyes and a positive Battle sign. Raccoon eyes and the Battle sign are associated with:
a. multisystem trauma. b. orbital fractures. c. basilar skull fractures. d. subdural hematoma.
A client with sepsis has been admitted to the unit. The primary nurse is planning care and determines that one goal for this client is to maintain normal mental status
Which of the following evaluations by the nurse imply that the goal has been met? 1. The client has a Glasgow coma score of 4. 2. The client's pupils are fixed. 3. The client is restless. 4. The client responds to questions appropriately.