When a patient comes to an outpatient appointment, a nurse smells alcohol. The nurse should:
a. explore the patient's reasons for drinking today.
b. arrange admission to an inpatient psychiatric unit.
c. coordinate emergency admission to a detoxification unit.
d. tell the patient, "We cannot see you today because you have been drinking.".
D
One cannot conduct meaningful therapy with an intoxicated patient. The nurse is setting reasonable limits. The patient should be taken or escorted home and then make another appointment.
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A patient brought to the emergency department by ambulance reports that he has been smoking Cannabis heavily over the last few hours. An assessment reveals conjunctival injection, increased appetite, dry mouth, and tachycardia. The nurse determines that the patient is most likely experiencing:
A) Cannabis intoxication. B) Cannabis withdrawal. C) Cannabis use disorder. D) Cannabis tolerance.
A client has severe adult (acute) respiratory distress syndrome (ARDS) and has not responded to several different treatments. An independent nursing action that might help the client would be to
a. administer antioxidants as ordered. b. place the client in a prone position. c. turn the client every 2 hours. d. use meticulous hand-washing before client care.
When using an interpreter to facilitate an interview, where should the interpreter be positioned?
A) Behind you, the examiner, so that the lips of the patient and the patient's nonverbal cues can be seen B) Next to the patient, so the examiner can maintain eye contact and observe the nonverbal cues of the patient C) Between you and the patient so all parties can make the necessary observations D) In a corner of the room so as to provide minimal distraction to the interview
A heroin-dependant client is undergoing a methadone maintenance program. What interventions should the nurse perform when caring for this client?
A) Administer 200 mg as methadone tablets. B) Mix the powder with 120 mL of orange juice. C) Take regular blood samples of the client for analysis. D) Prevent the client from interacting with others.