The nurse assesses an alcoholic patient carefully for signs of withdrawal. How soon after cessation of alcohol intake do withdrawal symptoms usually appear?
a. 3 hours
b. 4 hours
c. 5 hours
d. 6 hours
ANS: D
Withdrawal signs can occur as early as 6 hours after cessation of alcohol intake and sometimes last for 3 to 5 days.
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At the conclusion of a surgical procedure, it has been determined that one sponge is missing. How should the nurse manage this situation?
1. Ask housekeeping personnel to look for the missing sponge while preparing the surgical suite for the next procedure. 2. Ask the surgeon to recount the sponges along with the nurse. 3. Refer to AORN standards for guidance. 4. Call the nursing supervisor to report the missing sponge.
The nurse delegates helping the older patient ambulate with a walker without wheels to nursing assistive personnel (NAP). Which instructions should the nurse provide to the NAP?
a. Show the patient how to slide the walker a few steps ahead. b. Check the patient for non-skid shoes be-fore using the walker. c. Be sure that the patient places all weight on the front of the walker. d. Ensure that the patient is wearing soft slipper socks while walking.
A client diagnosed with bipolar disorder states, "I hate oatmeal. Let's get everybody together to do exercises. I'm thirsty and I'm burning up. Get out of my way; I have to see that guy." What should be the priority nursing action?
A. Assess the client's vital signs. B. Offer to have the dietitian discuss food preferences. C. Encourage the client to lead the exercise program in the community meeting. D. Acknowledge the client briefly and then walk away.
The mutation of which gene is an early event associated with the pathogenetic origin of esophageal cancer?
a. KRAS b. TP53 c. myc d. HER2