Alcoholism HESI case study Exam Questions With All Correct Detailed Answers A+ Pass

Alcoholism HESI case study Exam Questions With All Correct Detailed Answers A+ Pass CAGE assessment first question - Answers - C. Have you ever thought you should cut down on your drinking? what should the nurse do next? - Answers - B. further assess the client's drinking behaviors which question is most likely to assist with the prediction of the onset of withdrawal symptoms if the client is dependent on alcohol? - Answers - B. When did you last have something to drink? what data supports the need for admission to the hospital? - Answers - D. thoughts of wanting to jump off a bridge what items can the nurse allow nick to keep in his room? - Answers - A. unlaced tennis shoes E. a personal photo what is the priority nursing problem for the initial crisis plan - Answers - D. thoughts of wanting to jump off a bridge what are the priority nursing dx - Answers - B. risk for injury D. altered nutrition E. risk for withdrawal The nurse recognizes that which finding indicates Nick probably has liver disease - Answers - B. increased AST Goal most important for alcohol detox? - Answers - B. physiologic stabilization Assessment most important for safe alcohol detox? - Answers - A. vital signs q4 When should the nurse begin to assess for withdrawal - Answers - A. within 4-6 hrs of last drink What should the nurse anticipate if nick experiences sx of early withdrawal from alcohol - Answers - C. tremors, nausea, vomiting what mech of action accounts for sx of alcohol withdrawal delirium - Answers - A. increased dopamine which interventions should the nurse implement - Answers - B. Administer ativan 2mg PO C. reassess vitals in 2 hrs E. provide antiemetic what is the action of benzos - Answers - A. potentiate effects of GABA what is the rationale for giving thiamine and a multivitamin - Answers - A. reduce risk of wernicke's disease since the nurse needs to give meds to a few other clients what is the nurse's best response? - Answers - B. let me find one of the staff to help you who should the nurse ask to complete the incident report - Answers - C. the nurse should ask the tech helping the client to complete the report how should the nurse respond - Answers - B. Disulfram (Antabuse) inhibits absorption of alcohol which intervention is most important before beginning Antabuse - Answers - A. obtain nick's written consent to comply