The client has been abusing alcohol for several years and tells the nurse, "I used to drink a pint of whiskey every day. Now I get sick and pass out after just two drinks." What does the nurse correctly recognize about this client?
1. The client has brain damage from the alcohol and cannot remember how much he consumes.
2. The client is in denial and most likely is misrepresenting the amount of alcohol he consumes.
3. The client could have liver damage, resulting in an inability to metabolize large amounts of alcohol.
4. The client's symptoms are related to hyperglycemia; he might have pancreatic damage.
Correct Answer: 3
Rationale 1: While clients with alcoholism frequently have brain damage, this client is describing the results of liver damage.
Rationale 2: While clients with alcoholism are frequently in denial and tend to downplay the amount of alcohol they consume, this client is describing the results of liver damage.
Rationale 3: Alcoholism is a common cause of cirrhosis, a debilitating—and often fatal—failure of the liver to perform its vital functions, such as metabolism of alcohol.
Rationale 4: While clients with alcoholism frequently have pancreatic damage, this client is describing the results of liver damage.
Global Rationale: Alcoholism is a common cause of cirrhosis, a debilitating—and often fatal—failure of the liver to perform its vital functions, such as metabolism of alcohol. While clients with alcoholism frequently have brain damage, this client is describing the results of liver damage. While clients with alcoholism are frequently in denial and tend to downplay the amount of alcohol they consume, this client is describing the results of liver damage. While clients with alcoholism frequently have pancreatic damage, this client is describing the results of liver damage.
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