Crack cocaine abusers may require hospitalization during withdrawal because of the psychological severity of which of the following?
a. postintoxication crash
b. social isolation
c. associated guilt
d. lack of motivation
A
Most clients with crack dependency need inpatient care because of both the intensity of drug cravings that crack provides and the severity of the postintoxication psychological "crash" that occurs during withdrawal. Day hospitalization is another alternative that offers many of the advantages of inpatient treatment at lower costs.
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A 65-year-old patient remarks that she just cannot believe that her breasts "sag so much." She states it must be from a lack of exercise. What explanation should the nurse offer her? After menopause:
a. Only women with large breasts experience sagging. b. Sagging is usually due to decreased muscle mass within the breast. c. A diet that is high in protein will help maintain muscle mass, which keeps the breasts from sagging. d. The glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breasts that sag.
A patient has a cancer that has been TNM staged as T3 (1-4, size of primary tumor), N2 (0-3, degree of spread to regional lymph nodes), and M2 (0-1, presence of metastasis)
He has an as needed order of 4 mg of morphine intramuscularly every 3 to 4 hours. He requests another pain injection approximately hours after the last one. What is the most appropriate nursing action? a. Inform the patient that this narcotic may be given only every 4 hours to prevent addiction. b. Ignore the call bell for 20 minutes and then take at least 10 minutes to prepare and administer the injection. c. Give the morphine and evaluate the results of pain relief. Arrange for the physician to evaluate for breakthrough pain. d. Ask the family to assist in helping the pa-tient accept waiting longer to receive an addicting medication such as morphine.
The nurse is talking to the parent of a 5-year-old child who refuses to go to sleep at night. What intervention should the nurse suggest in helping the parent to cope with this sleep disturbance?
a. Establish a consistent punishment if the child does not go to bed when told. b. Allow the child to fall asleep in a different room and then gently move the child to his or her bed. c. Establish limited rituals that signal readiness for bedtime. d. Allow the child to watch television until almost asleep.
During the admission assessment of an individual admitted to the medical respiratory unit, the nurse notes the patient has a barrel-shaped chest. Which of the following assessments should the nurse perform next?
a. Assess the patient's rate and character of respirations b. Palpate the patient's thorax to determine presence of tenderness c. Obtain a blood sample for arterial blood gas (ABG) to detect respiratory acidosis d. Ask the patient about presence of a productive cough