The nurse is completing the admission of a client who is seeking treatment for alcoholism. He tells the nurse that the last time he had any alcohol to drink was at 10:00 AM before he left for the hospital. The nurse closely monitors the client
Which of the following would lead the nurse to suspect that the client is experiencing stage 1 of alcohol withdrawal syndrome? Select all that apply.
A) Slight diaphoresis
B) Hand tremors
C) Intermittent confusion
D) Heart rate of 135 beats/min
E) Normal blood pressure
A, B, E
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A woman in her thirties has been experiencing increasing weakness and the results of an edrophonium (Tensilon) test have resulted in a diagnosis of myasthenia gravis
The patient's nurse should anticipate that the patient will benefit from treatment with A) carbidopa-levodopa. B) a monoclonal antibody. C) a dopamine agonist. D) a cholinesterase inhibitor.
The patient who had a prostatectomy 1 year ago now has elevations in serum acid phosphatase, alkaline phosphatase, and calcium levels. The nurse is aware that these are in-dicators of:
1. reduction of cancer risk. 2. orchiditis. 3. testicular cancer. 4. metastasis.
Which of the following nursing diagnoses has a correctly written "related to" statement?
1. Impaired urinary elimination related to new baby 2. Ineffective breastfeeding related to poor mothering 3. Urinary retention related to need for catheterization 4. Ineffective breastfeeding related to insufficient maternal milk supply
The patient tells the nurse that her 12-year-old child asks to use her nail polish remover several times a day. When her friends come to visit, this seems to occur more frequently. What is the best response by the nurse?
1. "Your daughter may be 'huffing'; that is really scary." 2. "Your daughter may be 'huffing' or inhaling the remover." 3. "Your daughter may be 'huffing' or drinking small amounts of the remover." 4. "Your daughter may be 'huffing' or rubbing the remover on her skin."