The nurse sees a client with coronary artery disease 3 months after stenting
The client states he is
doing "great.". He indicates he has read of the benefits of alcohol on coronary artery disease and has
incorporated this theory into his lifestyle. When asked describe his lifestyle, he mentions he arises at
9 AM, has a bloody Mary, works at his computer until lunch and again after lunch, enjoys "a couple
of Manhattans" before dinner, has a good dinner with some red wine and then finishes the bottle of
wine during the evening. The nurse can make the assessment that the client is
a. at risk for substance abuse disorder.
b. grieving for lost abilities.
c. self-medicating for anxiety.
d. using protective denial.
A
The client is drinking excessively and is at risk for developing alcoholism. The scenario does not
provide data to suggest that any of the other options is correct.
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The nurse is obtaining a medication history on a newly admitted client with renal dysfunction. Which medication classification would the nurse note as significant for this client?
1. Antihypertensives. 2. Analgesics. 3. Antihyperlipidemics. 4. Diuretics.
A client is being evaluated for hallucination. Which findings indicate that hallucinations might be experienced by this client? (Select all that apply.)
1. "They are spraying me with chemicals." 2. "The voices tell me to kill my neighbors." 3. "I see those little men outside every night." 4. "I can't remember my best friend's last name." 5. "I smell the tear gas when their light is on in their kitchen."
Chronic diarrhea is usually caused by
a. foodborne pathogens. b. inadequate protein intake. c. intestinal irritation or malabsorption. d. excessive intake of dietary fiber.
The nurse is auscultating the client's lungs and notes normal vesicular sounds as being which of the following?
a. Medium-pitched blowing sounds with inspiration equalling expiration b. Loud, high-pitched, hollow sounds with expiration longer than inspiration c. Soft, breezy, low-pitched sounds with longer inspiration d. Sounds created by air moving through small airways