Which assessment data would bring into question a patient's statement that, "I have only a few drinks on special occasions."?
a. History of treatment for glaucoma
b. Fasting serum blood glucose level of 182 mg/dL
c. Patient reports numbness in hands and feet bilaterally
d. Red rash observed over neck, shoulders, and upper chest
ANS: C
Peripheral nerve deterioration in both hands and feet result from chronic alcohol intake. Pe-ripheral neuropathy occurs in about 10% of alcoholics after years of heavy drinking causing the nurse to question the patient's statement. The remaining options do not reflect symp-tomology generally associated with alcoholism.
You might also like to view...
The nurse is preparing to auscultate for heart sounds. Which technique is correct?
a. Listening to the sounds at the aortic, tricuspid, pulmonic, and mitral areas b. Listening by inching the stethoscope in a rough Z pattern, from the base of the heart across and down, then over to the apex c. Listening to the sounds only at the site where the apical pulse is felt to be the strongest d. Listening for all possible sounds at a time at each specified area
An elderly man presents to the CCU with a blood pressure reading of 190/125, severe headache, visual disturbances, and bleeding from his eyes. The nurse recognizes this condition as which of the following?
A) Pericarditis B) Endocarditis C) Dilated cardiomyopathy D) Hypertensive crisis
When the patient who has been diagnosed with hepatitis B has been hospitalized, the type of isolation the nursing staff should observe is
A) Droplet precautions B) Universal precautions C) Reverse precautions D) Body-substance isolation
A nurse cares for a client who is recovering from a single-photon emission computed tomography (SPECT) with a radiopharmaceutical agent. Which statement should the nurse include when discussing the plan of care with this client?
a. "You may return to your previous activity level immediately." b. "You are radioactive and must use a private bathroom." c. "Frequent assessments of the injection site will be completed." d. "We will be monitoring your renal functions closely."