The nurse counsels a college student who admits to frequent binge drinking. Based on her age and environment, the most likely reason for this student's binge drinking is to:
A) Deal with family dysfunction
B) Cope with violence
C) Escape painful emotions
D) Enhance mood or affective state
Ans: D
Feedback:
Unlike their younger peers, who may use alcoholic beverages to cope with family dysfunction, violence, or painful emotions, college students are more likely to engage in heavy or binge drinking to enhance their mood or affective state.
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The nurse reminds the patient using patient-controlled analgesia (PCA) that the major advantage to this method is that it is:
a. cheaper. b. more effective. c. less addictive. d. quicker.
If a DVT (deep vein thrombosis) is suspected, the nurse should:
a. perform a Homans sign on the affected leg. b. dorsiflex the foot of the affected leg. c. palpate the affected leg for edema and pain. d. place the client on bed rest, with the affected leg elevated.
Which clinical manifestation in a client with long-standing COPD alerts you to the possibility of cor pulmonale?
A. Pursed-lip breathing occurs when the client is at rest. B. The client's neck muscles are enlarged and prominent. C. The client's ECG shows tall, peaked T waves and an absent U wave. D. Jugular venous distention is present when the client is in a sitting position.
The nurse caring for a client being treated for tuberculosis anticipates that the client will also receive which medications to help prevent peripheral neuropathy?
1. Niacin 2. Pyridoxine (vitamin B6) 3. Cyanocobalamin (vitamin B12) 4. Neurontin