The nurse is assessing a patient with substance abuse. What question should the nurse use to obtain the most information during this assessment? Select all that apply.
A. Did you drink beer before coming to the hospital?
B. On average, how many days a week do you drink or use drugs?
C. What is the greatest number of drinks you have had at any one time in the past month?
D. Do you drink beer or whiskey?
E. How often and how much do you usually use?
Answer: E
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Nurses use a variety of approaches to manage a client's pain. Pharmacologic measures include:(Select all that apply) Standard Text: Select all that apply
1. Opioids 2. Antihelmintics 3. Triptans 4. Antidepressants 5. TENS
To assess whether or not an arteriovenous fistula is functioning, what must be done and why?
a. Palpate the quality of the pulse distal to the site to determine whether a thrill is present; auscultate with a stethoscope to appreciate a bruit to assess the quality of the blood flow. b. Palpate the quality of the pulse proximal to the site to determine whether a thrill is present; auscultate with a stethoscope to appreciate a bruit to assess the quality of the blood flow. c. Palpate gently over the site of the fistula to determine whether a thrill is present; listen with a stethoscope over this site to appreciate a bruit to assess the quality of the blood flow. d. Palpate over the site of the fistula to determine whether a thrill is present; check whether the extremity is pink and warm.
The nurse is caring for a patient receiving enteral feedings. She appropriately delegates the following to the UAP: (Select all that apply.)
a. Verify tube placement b. Perform oral care c. Administer tube feeding d. Obtain vital signs and report results
A nurse is caring for a client who suddenly begins to have respiratory difficulty. In what position would the nurse place the client to facilitate respirations?
A) Supine B) Prone C) High-Fowler's D) Dorsal recumbent