A client taking the drug disulfiram (Antabuse) is admitted to the ER. Which clinical manifestations are most indicative of recent alcohol ingestion?
A. Vomiting, heart rate 120, chest pain
B. Nausea, mild headache, bradycardia
C. Respirations 16, heart rate 62, diarrhea
D. Temp 101°F, tachycardia, respirations 20
Ans: A. Vomiting, heart rate 120, chest pain
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A client is diagnosed with metastatic prostate cancer. The client asks the nurse the purpose of his treatment with the luteinizing hormone-releasing hormone (LH-RH) agonist leuprolide (Lupron) and the bisphosphonate pamidronate (Aredia)
Which statement by the nurse is most appropriate? a. "The treatment reduces testosterone and prevents bone fractures." b. "The medications prevent erectile dysfunction and increase libido." c. "There is less gynecomastia and osteoporosis with this drug regimen." d. "These medications both inhibit tumor progression by blocking androgens."
As a nurse assessing abused children, the abused child may display which behavioral characteristics? (Select all that apply.)
1. High need for adult contact 2. Attempt suicide or abuse alcohol or drugs 3. Consistently be measured in the 95th percentile on growth charts 4. Verbalize fault for injuries: "I deserved it" 5. Express violence toward pets
A young woman was brought into the emergency department by a friend after she had been assaulted outside of a movie theater. When questioned by the nurse, the young woman stated, "I'm not sure what happened. I just want to go home"
The nurse recognizes that the experience was traumatic for the young woman and hypothesized that the woman was using which of the following to cope with her experience? a. faked amnesia b. denial c. anger d. frustration
Which of the following activities reflect the nurse's role in health promotion and wellness? (Se-lect all that apply.)
1. Screening the local homeless population for head lice 2. Monitoring blood pressures at a community health fair 3. Organizing a foot race to benefit national cancer research 4. Consulting a teenage mother on breast-feeding techniques 5. Providing literature on smoking cessation to client families 6. Presenting a nursing workshop on the care of diabetic ulcers