In which phase of drinking behavior of an alcoholic would you notice impaired reality testing and emotional disorganization?
a. prealcoholic
b. early alcoholic
c. true alcoholic
d. chronic alcoholic
D
Impaired reality testing and emotional disorganization occur in the chronic alcoholic phase. Over time, the individual's continuous use of alcohol leads to extensive emotional disorganization. The individual may exhibit impairment of reality testing involving regression or loss of a sense of ethics. Physically the individual exhibits disorders of the central nervous system (bilateral, progressive neuritis of lower extremities; temporary nerve palsies) and liver and vascular diseases.
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Directions: Use the following weight-based heparin protocol for the following problems
1. Bolus heparin at 80 units/kg 2. Begin intravenous infusion of heparin at 18 units/kg/hr using 25,000 units of heparin in 250 mL of 0.45% NaCl for 100 units per mL 3. Adjust intravenous heparin daily on the basis of APTT results. - APTT less than 35 sec. Rebolus with 80 units/kg and increase rate by 4 units/kg/hr - APTT 35-45 sec. Rebolus with 40 units/kg and increase rate by 2 units/kg/hr - APTT 46-70 sec. No change - APTT 71-90 sec. Decrease rate by 2 units/kg/hr - APTT greater than 90 sec. Stop heparin infusion for 1 hour and decrease rate by 3 units/kg/hr A client weighs 81 kg. Determine the bolus dose of heparin, the initial infusion rate, and then adjust the hourly infusion rate up or down on the basis of the APTT results. APTT is reported as 43. The IV pump is calibrated in tenths of a milliliter.
The obligation to correctly perform one's assigned duties is called:
a. accountability c. assignment b. delegation d. responsibility
The nurse is administering care to a client group that includes individuals from four cultures. In trying to give culturally competent care, the nurse understands that the client who probably requires the least personal space is the:
1. Canadian. 2. American. 3. Latin American. 4. Briton.
A nursing instructor is describing the different types of interoperability. Which of the following terms would the instructor use to explain process interoperability?
A) Automatic interpretation B) Information transmission C) Workflow management D) Algorithm interaction