Health and Healing IV test 1 DURHAM
college
The nurse is assessing a patient who has a history of alcohol use. Which of the following assessment
data should the nurse expect?
a. Low blood pressure
b. Decreased heart rate
c. Elevated temperature
d. Abdominal tenderness ANS: d. Abdominal tenderness
The nurse is caring for a patient who smokes a pack of cigarettes daily and has been admitted to the
hospital for surgery. In anticipation of nicotine withdrawal, which of the following goals should the nurse
include when planning postoperative care?
a. Improve sleep.
b. Enhance appetite.
c. Decrease diarrhea.
d. Prevent sore throat. ANS: a. Improve sleep.
The nurse is preparing to conduct an annual physical examination with a young adult patient who arrives
in the clinic smelling of cigarette smoke and carrying a pack of cigarettes. Which action will the nurse
plan to take?
a. Urge the patient to quit smoking as soon as possible.
b. Avoid confronting the patient about smoking at this time.
c. Wait for the patient to start the discussion about quitting smoking.
d. Explain that the "cold turkey" method is most effective in stopping smoking. ANS: a. Urge the patient
to quit smoking as soon as possible.
,The nurse is caring for a patient admitted to the hospital after an automobile accident who has a blood
alcohol concentration (BAC) of 48 mmol/L (0.22 mg%). The patient is alert and does not appear highly
intoxicated. Which of the following nursing actions should the nurse implement?
a. Maintain the patient on NPO status.
b. Avoid the use of intravenous (IV) fluids.
c. Administer acetaminophen for headache.
d. Monitor frequently for anxiety, hyper-reflexia, and sweating ANS: d. Monitor frequently for anxiety,
hyper-reflexia, and sweating
A patient who is alcohol-intoxicated must undergo emergency surgery for abdominal trauma. Which of
the following should the nurse anticipate when caring for the patient in the perioperative period?
a. An increased dose of the general anesthetic medication
b. Frequent monitoring for bleeding and respiratory complications
c. Development of withdrawal symptoms within a few hours after surgery
d. Stimulation every hour to prevent prolonged postoperative sedation ANS: b. Frequent monitoring for
bleeding and respiratory complications
The nurse is caring for a patient with alcohol dependence who has been admitted to the hospital with
chest pain. Twenty-four hours after admission, the patient becomes very tremulous and anxious. Which
of the following actions should the nurse implement?
a. Insert an IV line and infuse fluids.
b. Promote oral intake to 3000 mL/day.
c. Provide a quiet, well-lit environment.
d. Administer opioids to provide sedation. ANS: c. Provide a quiet, well-lit environment.
A patient with a history of heavy alcohol use is seen at the clinic with acute gastritis. Which statement
by the patient indicates that the patient is in the contemplation stage of change?
a. "I am older and wiser now, and I know I can change my drinking behaviour."
b. "Alcohol has never bothered my stomach. I think it's likely that I have the flu."
, c. "I think my drinking is affecting my stomach, but maybe some drugs will help."
d. "People say that I drink too much, but I really feel pretty good most of the time." ANS: c. "I think my
drinking is affecting my stomach, but maybe some drugs will help."
A patient who smokes a pack of cigarettes daily develops tachycardia and irritability on the second day
after abdominal surgery. Which of the following actions should the nurse implement first?
a. Escort the patient outside where smoking is allowed.
b. Request a prescription for a nicotine replacement agent.
c. Move the patient to a private room and allow smoking.
d. Tell the patient that this is a good time to quit smoking. ANS: b. Request a prescription for a nicotine
replacement agent.
The nurse is caring for a patient who is admitted to the hospital for treatment of an abscess on the left
thigh and the patient tells the nurse that they use fentanyl illegally. Which of the following symptoms
should the nurse anticipate assessing?
a. Nausea and diarrhea
b. Tremors and seizures
c. Lethargy and disorientation
d. Delusions and hallucinations ANS: a. Nausea and diarrhea
The nurse is caring for an adult patient who is experiencing acute intoxication. The nurse is aware that
acute intoxication responses usually resolve within which of the following time frames?
a. 4 hours
b. 12 hours
c. 24 hours
d. 48 hours ANS: c. 24 hours
college
The nurse is assessing a patient who has a history of alcohol use. Which of the following assessment
data should the nurse expect?
a. Low blood pressure
b. Decreased heart rate
c. Elevated temperature
d. Abdominal tenderness ANS: d. Abdominal tenderness
The nurse is caring for a patient who smokes a pack of cigarettes daily and has been admitted to the
hospital for surgery. In anticipation of nicotine withdrawal, which of the following goals should the nurse
include when planning postoperative care?
a. Improve sleep.
b. Enhance appetite.
c. Decrease diarrhea.
d. Prevent sore throat. ANS: a. Improve sleep.
The nurse is preparing to conduct an annual physical examination with a young adult patient who arrives
in the clinic smelling of cigarette smoke and carrying a pack of cigarettes. Which action will the nurse
plan to take?
a. Urge the patient to quit smoking as soon as possible.
b. Avoid confronting the patient about smoking at this time.
c. Wait for the patient to start the discussion about quitting smoking.
d. Explain that the "cold turkey" method is most effective in stopping smoking. ANS: a. Urge the patient
to quit smoking as soon as possible.
,The nurse is caring for a patient admitted to the hospital after an automobile accident who has a blood
alcohol concentration (BAC) of 48 mmol/L (0.22 mg%). The patient is alert and does not appear highly
intoxicated. Which of the following nursing actions should the nurse implement?
a. Maintain the patient on NPO status.
b. Avoid the use of intravenous (IV) fluids.
c. Administer acetaminophen for headache.
d. Monitor frequently for anxiety, hyper-reflexia, and sweating ANS: d. Monitor frequently for anxiety,
hyper-reflexia, and sweating
A patient who is alcohol-intoxicated must undergo emergency surgery for abdominal trauma. Which of
the following should the nurse anticipate when caring for the patient in the perioperative period?
a. An increased dose of the general anesthetic medication
b. Frequent monitoring for bleeding and respiratory complications
c. Development of withdrawal symptoms within a few hours after surgery
d. Stimulation every hour to prevent prolonged postoperative sedation ANS: b. Frequent monitoring for
bleeding and respiratory complications
The nurse is caring for a patient with alcohol dependence who has been admitted to the hospital with
chest pain. Twenty-four hours after admission, the patient becomes very tremulous and anxious. Which
of the following actions should the nurse implement?
a. Insert an IV line and infuse fluids.
b. Promote oral intake to 3000 mL/day.
c. Provide a quiet, well-lit environment.
d. Administer opioids to provide sedation. ANS: c. Provide a quiet, well-lit environment.
A patient with a history of heavy alcohol use is seen at the clinic with acute gastritis. Which statement
by the patient indicates that the patient is in the contemplation stage of change?
a. "I am older and wiser now, and I know I can change my drinking behaviour."
b. "Alcohol has never bothered my stomach. I think it's likely that I have the flu."
, c. "I think my drinking is affecting my stomach, but maybe some drugs will help."
d. "People say that I drink too much, but I really feel pretty good most of the time." ANS: c. "I think my
drinking is affecting my stomach, but maybe some drugs will help."
A patient who smokes a pack of cigarettes daily develops tachycardia and irritability on the second day
after abdominal surgery. Which of the following actions should the nurse implement first?
a. Escort the patient outside where smoking is allowed.
b. Request a prescription for a nicotine replacement agent.
c. Move the patient to a private room and allow smoking.
d. Tell the patient that this is a good time to quit smoking. ANS: b. Request a prescription for a nicotine
replacement agent.
The nurse is caring for a patient who is admitted to the hospital for treatment of an abscess on the left
thigh and the patient tells the nurse that they use fentanyl illegally. Which of the following symptoms
should the nurse anticipate assessing?
a. Nausea and diarrhea
b. Tremors and seizures
c. Lethargy and disorientation
d. Delusions and hallucinations ANS: a. Nausea and diarrhea
The nurse is caring for an adult patient who is experiencing acute intoxication. The nurse is aware that
acute intoxication responses usually resolve within which of the following time frames?
a. 4 hours
b. 12 hours
c. 24 hours
d. 48 hours ANS: c. 24 hours
