NURSING > EXAM > NUR 316 Exam 2 Question & Answers, All Rated (All)

NUR 316 Exam 2 Question & Answers, All Rated

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NUR 316 Exam 2 Question & Answers, All Rated-What should be the priority nursing diagnosis for a client experiencing alcohol withdrawal? - Risk for injury R/T central nervous system stimulation A nurse evaluates a client's patient-controlled analgesia (PCA) pump and notices 100 attempts within a 30-minute period. Which is the best rationale for assessing this client for substance use disorder? - Clients who are regularly using alcohol or benzodiazepines may have developed cross-tolerance to analgesics and require increased doses to achieve effective pain control. On the first day of a client's alcohol detoxification, which nursing intervention should take priority? - Administer ordered chlordiazepoxide (Librium) in a dosage according to protocol. Which client statement indicates a knowledge deficit related to substance use? - "Marijuana is like smoking cigarettes. Everyone does it. It's essentially harmless." A lonely, depressed divorcée has been self-medicating with cocaine for the past year. Which term should a nurse use to best describe this individual's situation? - The individual is experiencing psychological addiction. Which term should a nurse use to describe the administration of a central nervous system (CNS) depressant during alcohol withdrawal? - Substitution therapy A client diagnosed with chronic alcohol use disorder is being discharged from an inpatient treatment facility after detoxification. Which client outcome related to Alcoholics Anonymous (AA) would be most appropriate for a nurse to discuss with the client during discharge teaching? - After discharge, the client will immediately attend 90 AA meetings in 90 days. A client with a history of heavy alcohol use is brought to an emergency department (ED) by family members who state that the client has had nothing to drink in the last 24 hours. Which client symptom should the nurse immediately report to the ED physician? - Blood pressure of 180/100 mm Hg Which client statement demonstrates positive progress toward recovery from a substance use disorder? - Taking those pills got out of control. It cost me my job, marriage, and children." A nurse holds the hand of a client who is withdrawing from alcohol. What is the nurse's rationale for this intervention? - To assess for fine tremors Upon admission for symptoms of alcohol withdrawal, a client states, "I haven't eaten in 3 days." Assessment reveals BP 170/100 mm Hg, P 110, R 28, and T 97F (36C) with dry skin, dry mucous membranes, and poor skin turgor. What should be the priority nursing diagnosis? - Imbalanced nutrition: less than body requirements A mother who has a history of chronic heroin use has lost custody of her children due to abuse and neglect. She has been admitted to an inpatient drug rehabilitation program. Which client statement should a nurse associate with a positive prognosis for this client? - "I cannot control my use of heroin. It's stronger than I am."

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