A patient is brought to the emergency department to be assessed after an auto accident. The patient has slurred speech and ataxia and reacts aggressively when examined. The patient's blood alcohol level (BAL) is 0.4 g/dl
From the relationship between the behavior and the BAL, the nurse can make the assessment that the patient: a. takes disulfiram (Antabuse).
b. is experiencing alcohol poisoning.
c. has ingested acamprosate (Campral).
d. has a significantly high tolerance to alcohol.
D
A non-tolerant individual would be comatose with a BAL of 0.4 g/dl. The fact that the patient can walk and talk strongly suggests that the body has developed tolerance to alcohol.
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A client is receiving intravenous morphine every hour for severe pain. The nurse assesses the client and notes a blood pressure of mm Hg, pulse rate of 90 beats/min, and respirations of 6 breaths/min
Which action by the nurse takes priority? The nurse should a. administer the next dose of morphine when it is due. b. notify the physician about the patient's hypotension. c. prepare to administer naloxone (Narcan). d. return in 1 hour so the client can get some uninterrupted sleep.
Remedies for back pain in pregnancy that are supported by research evidence and may safely be taught to any pregnant woman by the nurse include: Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Pelvic tilt. 2. Water aerobics. 3. Sit-ups. 4. Proper body mechanics. 5. Maintaining good posture.
The unit manager is orienting a new staff nurse and evaluates which of the following as an ap-propriate technique for nasotracheal suctioning?
1. Placing the client in a supine position 2. Preparing for a clean or nonsterile technique 3. Suctioning the oropharyngeal area first, then the nasotracheal area 4. Applying intermittent suction for 10 seconds during catheter removal
A vomiting patient who loses too much water may be prescribed which of the following?
A. diuretics B. Benadryl Allergy C. IV fluids D. sodium bicarbonate