The nurse uses the CAGE questionnaire and B-DAST screening tool to assess an adolescent experiencing panic and agitation. Which substance is the nurse most likely planning to assess in this patient? Select all that apply.
A. Heroin
B. PCP
C. LSD
D. Crack
E. Alcohol
Answer: E
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The time is 4:30 p.m. An IV has 1400 mL remaining in the bag. The pump is running at 125 mL/h. At what time (use military time) will the IV finish?
1. 1642 hours 2. 1542 hours 3. 0342 hours 4. 0330 hours
A nurse would question an order for permethrin in which of the following patients?
A) A patient with gastrointestinal distress B) A patient with respiratory problems C) A patient who is hypersensitive to antibiotics D) A patient who is hypersensitive to household insecticides
A patient in the emergency department has a cardiac rhythm strip that reveals a junctional rhythm with rate of 128, PR interval of 0.08 seconds, a normally configured QRS, and an upright T wave. The patient is awake and alert with warm, dry skin. Which nursing intervention is indicated?
1. Prepare for immediate cardioversion 2. Immediate notification of the rapid response team 3. Continued monitoring and assessment 4. Administration of potassium by slow intravenous infusion
The nurse is assisting an 18-year-old female patient to strategize ways to avoid the onset of disease with aging. What should the nurse include in this plan?
Select all that apply. 1. Maintain a healthy weight. 2. Avoid smoking. 3. Avoid substance abuse. 4. Schedule an annual mammogram. 5. Plan for a colonoscopy every 2 years.