TESTBANK FOR LEWIS MEDICAL SURGICAL NURSING 11TH EDITION BY HARDING ( ALL CHAPTERS 1-68) LATEST UPDATED EXAMINATION STUDYGUIDE 2023/2024

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11TH EDITION BYHARDING Questions & Answers
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Chapter 48: Substance Use Disorders
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i MULTIPLE
i CHOICE
1. Which iassessment ifinding iwould ialert ithe inurse ito iask ithe ipatient iabout

alcohol use?
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a. Low blood pressure i i




b. Decreased heart rate i i




c. Elevated temperature i




d. Abdominal
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Abdominal pain associated with gastrointestinal tract and liver dysfunction is
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common in patients with chronicalcohol use. The other problems are not
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associated with alcohol abuse.
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DIF: Cognitive Level: Apply (application)
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11TH EDITION BYHARDING Questions & Answers
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TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
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2. The inurse iplans ipostoperative icare ifor ia ipatient iwho ismokes ia ipack iof

cigarettes daily. Which goal shouldthe nurse include in the plan of care for
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this patient?
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a. Improve sleep i




b. Enhance appetite i




c. Decrease diarrhea i




d. Prevent sore i



throatANS: A
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Insomnia is a characteristic of nicotine withdrawal. Diarrhea, sore throat, and
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anorexia are not symptomsassociated with nicotine withdrawal.
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DIF: Cognitive Level: Apply (application)
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TOP: Nursing Process: Planning MSC: NCLEX: Psychosocial Integrity
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3. A iyoung iadult ipatient ischeduled ifor ian iannual iphysical iexamination

arrives in the clinic smelling ofcigarette smoke and carrying a pack of
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cigarettes. Which action will the nurse plan to take?
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a. Urge the patient to quit smoking as soon as possible.
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b. Avoid confronting the patient about smoking at this time.
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c. Wait for the patient to start the discussion about quitting smoking.
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d. Explain that the cold turkey method is most effective in stopping
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smoking.
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ANS: A i




Current national guidelines indicate that health care professionals should urge
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patients who smoke to quitsmoking at every encounter. The other actions will
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i not help decrease the patients health risks related tosmoking.
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DIF: Cognitive Level: Apply (application)
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TOP: Nursing Process: Planning MSC: NCLEX: Health Promotion and
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Maintenance
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4. A ipatient iadmitted ito ithe ihospital iafter ian iautomobile iaccident iis ialert

i and does not appear to be highly intoxicated. The blood alcohol
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concentration (BAC) is 110 mg/dL (0.11 mg%). Which action by the nurse is
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mostappropriate?
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11TH EDITION BYHARDING Questions & Answers
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