The nurse is planning care for a patient with alcohol withdrawal syndrome
Which criteria will the nurse use to determine the severity of the patient's symptoms from this syndrome? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Current blood alcohol level
2. Concurrent illnesses
3. History of previous withdrawals
4. History of substance abuse
5. Current vital signs
1,2,3,4
Rationale 1: Severity is believed to be dose dependent with more severe withdrawal associated with higher blood alcohol concentrations.
Rationale 2: Severe withdrawal is intensified by the stress of concurrent illnesses.
Rationale 3: Having a history of previous withdrawals suggests that additional withdrawals can be progressively more severe. This is the kindling effect.
Rationale 4: The use of other addictive drugs impacts the severity of withdrawal.
Rationale 5: Current vital signs will not impact the severity of alcohol withdrawal.
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MC A central catheter dressing change requires all of the following safety factors except
A. The insertion site is cleansed with acetone to clean the site of dried blood. B. The IV site is cleaned from the insertion site to the periphery. C. Masks are worn by both client and nurse. D. The tubing is changed while having client hold his or her breath and bear down.
The policy of an adult health clinic is to collect a family history of three generations on every new client. The nurse orienting a newly hired nurse explains this policy in which way?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "Family history is a critical component of the way we educate clients about their health." 2. "You will not find this depth of family history collected in most practices." 3. "We are working to change this policy as it is very time consuming." 4. "Most of this information is never reviewed by providers." 5. "We review this information with clients at every visit and update the information as necessary."
In preparing to give "enemas until clear" to a young child, the nurse should select which solution?
a. Tap water b. Normal saline c. Oil retention d. Fleet solution
which delivery system would be used to deliver regional chemotherapy for metastasis from a primary colorectal cancer?
a. intrathecal b. intraarterial c. IV d. intraperitoneal