A nurse is working with a client who says she drinks one to two glasses of wine at the end of every workday to "unwind" and "de-stress." Which phase of abuse does the nurse identify?
A) Prealcoholic
B) Early alcoholic
C) Crucial phase
D) Chronic phase
A
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A postoperative patient is reporting pain as a 7 on a scale from 1 to 10, with 10 being the worst pain. The nurse caring for the patient assesses vital signs of HR, 76; RR, 16; and BP, 110/70
The patient has vomited twice. Which postoperative medications will the nurse expect to administer? a. Atropine and morphine b. Bethanechol and ibuprofen c. Morphine and ondansetron [Zofran] d. Promethazine and clonidine [Catapres]
The nurse is working in the pediatric unit of the hospital and is making observations about the safety issues related to the pediatric unit. Which is the biggest concern related to safety of the hospitalized child?
A) The child is out of the home environment they are used to without safety locks on doors and cabinets and things being placed in safe storage B) The caregivers are in a high-stress situation and are unable to concentrate and pay attention to what the child is doing at all times C) Taking a child in and out of bed, doing frequent checks and procedures, and caregivers sitting at the side of the bed leaves opportunity for the side rails to be left down D) A variety of nursing staff and other hospital staff are in and out of the child's room during hospitalization, and close observation of the child by the staff is difficult
The client is receiving tirofiban (Aggrastat). What is an essential nursing intervention for this client?
a. Have protamine sulfate available in case of an overdose. b. Weigh the client before administration. c. Have vitamin K available in case of an overdose. d. Assess intake and output.
A nurse is conducting a search for clinical practice guidelines that address the management of constipation in the elderly. Which of the following principles should the nurse integrate into the search?
A) A high-quality clinical practice guideline should have universal applicability. B) The geographical origin of the authors and sponsoring body should determine clinical applicability. C) The nurse should reject guidelines that have included levels III and IV evidence. D) The nurse should appraise the applicability and relevance of guidelines before implementing them.