The priority outcome for a client who has been admitted for detoxification from alcohol after a 20-year history of drinking and enablement by her family would be that the client will:
1. Have vital signs within normal range
2. Identify the effect alcohol has had on her life
3. Join a 12-step support group
4. Commit to remaining alcohol-free
ANS: 1
During detoxification, which can be life-threatening, the most important thing is normal vital signs (option 1). The other activities can take place after detoxification.
You might also like to view...
The nurse is caring for a group of clients on a psychiatric unit. One client has become highly agitated and is threatening other clients and some of the staff. The nurse escorts the client to the isolation room, leaving the door open
Which statement by the nurse is most appropriate? A) "I can't believe you behaved in this manner and upset everyone else." B) "I'm going to stay here with you in case you want to talk about what happened." C) "If you do not calm down, I will sedate you for your own safety." D) "You scared the other clients."
What is the rationale for using methadone in the treatment of heroin abuse?
a. Substitutes one opioid for another b. Is less constipating than heroin c. Does not give the "rush" that a person ad-dicted to heroin is looking for d. Is a synthetic opioid, which makes it less addicting
A nurse is conducting morning assessments of several medical patients and has entered the room of a patient who has a nasogastric (NG) tube in situ
Immediately, the nurse observes that the tube has become unsecured from the patient's nose and the mark at the desired point of entry is now approximately 8 inches from the patient's nose. How should the nurse best respond to this assessment finding? A) Reinsert the NG tube and arrange for x-ray confirmation of placement. B) Remove the NG tube and obtain an order for reinsertion. C) Reinsert the NG tube and monitor the patient closely for signs of aspiration. D) Reinsert the NG tube and aspirate stomach contents to confirm correct placement.
A nurse writes a cover letter to a potential employer. The nurse recognizes that one of the major components of a cover letter is that it should be:
a. one page in length b. a detailed commercial about yourself c. one to two pages in length d. started with a general salutation