A 68-year-old man with a history of alcohol abuse is admitted to the acute care facility for reports of abdominal pain. Based on your understanding of alcohol withdrawal, the nurse knows that if patient is currently abusing alcohol, he will most likely
a. experience delirium tremors within 4 hours of hospitalization.
b. develop withdrawal symptoms 48 to 72 hours after the last intake of alcohol.
c. receive 1 ounce of alcohol every 4 hours while awake.
d. be prescribed oxazepam (Serax).
B
Symptoms tend to peak 48 to 72 hours after a patient's last drink, although they may occur with-in 4 to 12 hours. The patient may or may not have DTs. The patient should not receive alcohol and may or may not need medication.
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When a central nervous system stimulant such as Adderall is prescribed for a client who has attention-deficit hyperactivity disorder (ADHD), the nurse must instruct the client's parents to assess the medication's immediate effectiveness by
looking for: a. a paradoxical reaction b. improved grades at school c. increased activity level d. increased insomnia and decreased appetite
A preschool-age child is being seen in the oncology clinic for a suspected diagnosis of cancer. A common reaction preschool-age children have to a diagnosis of cancer is:
1. Acceptance, especially if able to discuss the disease with children their own age. 2. Thoughts that they caused their illness and are being punished. 3. An understanding of what cancer is and how it is treated. 4. Unawareness of what the illness is.
When the nurse enters a patient's room to administer a medication, he calls out from the bathroom, telling her to leave his medication on the bedside table. He reassures her that he will take the medication as soon as he is finished
How should the nurse proceed? a. Inform the patient that she will return when he is finished in the bathroom. b. Wait outside the bathroom door until the patient is ready for the dose. c. Withhold the dose until the next administration time later in the day. d. Document that the dose was omitted in the medication administration record.
The nurse reinforces teaching provided to a patient prescribed an anticoagulant for atrial fibrillation due to valvular disease. Which statement by the patient indicates that the teaching has been effective?
a. "I will have monthly blood tests done." b. "I can take aspirin for my frequent headaches." c. "I feel fine, so I do not need to wear a Medic-Alert bracelet anymore." d. "I care for my teeth very well, brushing them with a hard brush and flossing daily."