The nurse realizes the patient is describing tolerance when the patient makes which statement?
1. "I think I have the flu. My stomach is upset and my hands are shaking."
2. "If I have my drink before I go home, I don't lose my patience so easily."
3. "I had a really good time at the party. At least my friends told me I did, but I don't remember much of it."
4. "I seem to need more alcohol each evening just to unwind."
4
Rationale 1: These symptoms reflect withdrawal from the drug.
Rationale 2: This statement reflects substance abuse.
Rationale 3: This statement reflects substance abuse.
Rationale 4: Tolerance is a cumulative state in which a particular dose of the chemical elicits a smaller response than before. With increasing tolerance, the individual needs higher and higher doses to obtain the desired effects.
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A patient in the ICU with acute respiratory distress syndrome (ARDS) complains of worsening dyspnea
Which of the following physiological changes associated with ARDS are most responsible for this patient's impaired ventilation? Select all that apply. A) Decreased lung compliance B) Pulmonary hypertension C) Vasoconstriction of the pulmonary vascular bed D) Increased airway resistance E) Cyanosis F) Multisystem organ dysfunction
Catecholamines cannot be administered orally because:
a. they have a long half-life. b. the effects would be excessively potent if the drugs were given by this route. c. the side effect profile prevents this route of administration. d. they are quickly destroyed by MAO and COMT.
The nurse educator is describing the different kinds of abruptio placentae to a group of students, explaining that in a complete abruptio placentae:
1. Separation begins at the periphery of the placenta. 2. The placenta separates centrally, and there can be concealed bleeding. 3. There is massive vaginal bleeding in the presence of almost total separation. 4. Blood passes between the fetal membranes and the uterine wall, and escapes vaginally.
Which discharge information does the nurse include for the patient who has had an intestinal obstruction caused by fecal impaction?
a. Encourage the patient to report abdominal distention, nausea, or vomiting, and constipation b. Provide the patient a written description of a low-fiber diet c. Remind the patient to limit activity d. Remind the patient to decrease fluid intake