At an annual well-woman examination, the primary care nurse practitioner (NP) asks a patient about alcohol consumption

The woman reports she usually consumes six glasses of wine per week and occasionally will consume three or four glasses at a party. The NP smells alcohol on the woman's breath. The woman says she is hung over today. The NP should: a. order liver function tests (LFTs) and a complete blood count.
b. question her further about her nightly alcohol consumption—ask what size her wine glasses are.
c. consider her at high risk for alcoholism.
d. refer her to treatment for alcohol abuse.


B
Patients with alcohol on their breath should be assessed for alcohol abuse. The woman describes an amount of drinking that would put her at low risk, but alcoholics often minimize their drinking. A first step would be to get more information about how much she is drinking. The laboratory work may be indicated when the degree of suspicion is confirmed. Once alcoholism is diagnosed, she should be referred for treatment.

Nursing

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A patient with indigestion is prescribed aluminum hydroxide (Amphogel). To prevent the most common side effect of this drug, what does the nurse teach the patient?

a. "Take this drug 30 minutes before each meal." b. "Do not drink fluids for at least 30 minutes after taking this drug." c. "Be sure to consume a diet with lots of vegetables and other foods with fiber." d. "Report any episodes of diarrhea immediately to your prescriber."

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The nurse is aware that there are two causes of pediatric death. They are:

1. Psychological and physiologic. 2. Trauma and physiologic. 3. Trauma and psychological. 4. Physiologic and external.

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A patient having multiple chronic diseases can expect:

A. no change in the consequences of a drug's action. B. an increase in the consequences of a drug's action. C. a decrease in the consequences of a drug's action. D. all of these.

Nursing