You contact the physician with your observations, and he orders scheduled chlordiazepoxide (Librium)and a social services consultation to evaluate and treat for possible alcohol abuse. Three days later, B.K
is lucid and tolerating clear liquids, and her pain is controlled with oral pain medications. As she becomes
oriented and calmer, B.K. eventually admits to drinking "three or four scotch-on-the-rocks" daily. You also
discover that B.K. is estranged from her family because of her drinking. The physician advances her diet
to "low-fat/low-cholesterol" and writes orders to discharge that evening if she tolerates the advancement
in diet, which she does.
What will you include in your discharge teaching with B.K.?
• Reinforce the dietitian's recommendations of low-fat, low-cholesterol foods.
• Complete abstinence from alcohol! Stress that pancreatitis and pancreatic pain can become
chronic if she continues drinking.
• She needs to establish a relationship with a PCP to follow her ongoing health needs, including the
pancreatitis.
• A gastroenterology referral can be placed, with a number to call to make the appointment.
• Make certain she leaves with a referral to Alcoholics Anonymous or other substance abuse
programs in her area. This should be facilitated by her social worker.
• The social worker or discharge planner needs to evaluate whether B.K.'s home situation is safe;
even though she says she is estranged from her family, perhaps at this time there are members
who are willing to help her through this stage of her illness.
• Make certain a prescription, including a "taper order," is written for the chlordiazepoxide.
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What would the nurse infer about the incidence of lung cancer being lower among Hispanic women versus that of the general population?
A. Hispanic women are less likely to smoke. B. Hispanic women are healthier than the general population. C. Hispanic women have better preventive health practices. D. Hispanic women are not genetically predisposed to lung cancer.
Beginning with Florence Nightingale, many definitions of nursing have been put forth by individual nurses and by nursing organizations. Which of the following statements best describes an aspect of the changes in these definitions over time?
A) Drawing a clear distinction between the art of nursing and science of nursing B) Definitions of nursing that have become narrower in scope over time C) Characterization of nursing as a discipline that is a distinct alternative to medical treatment D) Definition of an independent health care practice that is not solely dependent on physicians
An important part of the nurse's assessment of the patient with peptic ulcer disease is assessing the patient's level of anxiety. How is this accomplished?
A) Appropriate information is provided to the patient's family. B) Patient is encouraged to express fears openly. C) Some patients aren't anxious so this assessment isn't necessary. D) Information is given in written form.
A middle-aged female is raising her children while providing care to her aging elderly parents. This female would be considered as being a member of
a. a closed family sys-tem c. a nuclear dyad b. an open family sys-tem d. the stretched genera-tion