Which statement or information obtained from a client during assessment for alcohol abuse alerts the nurse to the possibility of alcohol addiction?
A. The client says he or she drinks alcohol to feel less stressed and have a good time.
B. The client has been arrested once for driving under the influence of alcohol.
C. The client uses alcohol to stop his or her hands from shaking.
D. The client drinks alcohol daily.
C
The major distinction between abusing alcohol and being addicted to alcohol is the presence of withdrawal symptoms when the client is not drinking. The fact that alcohol is used to prevent or stop the symptoms of withdrawal (tremors of the hands) is a strong indicator of physical addic-tion to alcohol.
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A 78-year-old couple is moving out of state to be closer to family members. Which of the following residences is most appropriate for this couple?
a. Second story apartment with safety bars in the bathrooms b. Small two-bedroom home close to shopping center and church c. One-level living area condominium with good lighting inside and outside d. Two-level living area condominium close to family members
Prenatal testing is used to assess for genetic risks and to identify genetic disorders. In explaining to a couple about an elevated alpha-fetoprotein screening test result, the nurse would discuss the need for:
A) Special care needed for a Down syndrome infant B) A more specific determination of the acid–base status C) Further, more definitive evaluations to conclude anything D) Immediate termination of the pregnancy based on results
The client's lab studies reveal a normal serum albumin with a prealbumin of 10. How does the nurse interpret the significance of these readings?
1. The client has had recent protein malnutrition. 2. The client is now relatively well nourished with malnutrition 6 to 8 months ago. 3. The client is at risk for development of malabsorption syndromes. 4. Carbohydrate malnutrition has occurred over the last 6 months.
You have been assigned to work with one of the staff nurses in caring for Mrs. Gregory, who is dying and appears to be unaware of her surroundings. The nurse cautioned you, before entering the room, that you and she would not talk about the client while
caring for her. The reason for this caution is a. a there is nothing to be gained by discussing the dying client b. the homemaker/home health aide should not discuss a clientís illness with a staff nurse c. although clients appear to be unaware of their surroundings, they may be able to hear very well what is being said d. it shows disrespect to talk about a dying client