There are several risk factors for substance abuse and addiction in individual people and populations. Using your knowledge of evidence-based practice in the nursing care of populations most at risk for substance abuse disease, substance use disorders are
associated with high comorbidity for which type of illness?
A) COPD
B) Diabetes
C) HIV
D) Major mental
D
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A nurse provides health screening for a community health center with a large population of African-American clients. Which priority assessment should the nurse include when working with this population?
a. Measure height and weight. b. Assess blood pressure. c. Observe for any signs of abuse. d. Ask about medications.
For which client would the nurse not call the rapid response team?
1. Asthmatic client with a respiratory rate greater than 30 breaths per minute, oxygen saturation of 84%, and a heart rate of 142 beats per minute 2. A client with no history of seizures who has a sudden change in mentation and has a seizure 3. A client who suddenly begins to talk with difficulty and is not able to move the left arm and leg 4. The client with a history of angina who has a PRN order for nitroglycerin who reports crushing chest pain
A pregnant patient at 6 months gestation who is 37 years old complains of urinary frequency, thirst, increased appetite, and candida vaginitis that is refractory to treatment
The patient has a history of vaginal delivery of a 10-pound neonate 3 years ago. On physical examination, vital signs are T 98.6, pulse 88, resps 18/min, BP 120/70. On physical examination, heart has regular rate and rhythm at 88 beats/min, no S3, no murmurs. Lungs are clear to auscultation. Abdominal examination is negative. Uterus fundus is above umbilicus. Ankles: no edema. Dorsalis pedis pulses +2/4 bilaterally. Urine dipstick is negative for protein, + for glucose and + for ketones. The clinician should: A. Obtain a 3-hour glucose tolerance test B. Order a Hgb A1c blood test C. Obtain a fasting serum glucose D. Order a 24-hour urine for creatinine, ketones, and glucose
An infant with short bowel syndrome is receiving total parenteral nutrition (TPN). The practitioner has added continuous enteral feedings through a gastrostomy tube. The nurse recognizes this as important for which reason?
a. Wean the infant from TPN the next day b. Stimulate adaptation of the small intestine c. Give additional nutrients that cannot be included in the TPN d. Provide parents with hope that the child is close to discharge