Alcoholism HESI case study Exam
Questions and Answers 100% Pass
CAGE assessment first question - ANSWER-Have you ever thought you should
cut down on your drinking?
what action should the nurse take next? - ANSWER-further assess the client's
drinking behaviors
if it is determined that matt is dependent on alcohol which information should the
nurse obtain in order to predict the onset of withdraw symptoms - ANSWER-The
last time the client consumed an alcoholic beverage
what data supports the need for admission to the hospital? - ANSWER-thoughts
of wanting to jump off a bridge
what items can the nurse allow nick to keep in his room? - ANSWER-unlaced
tennis shoes
an electronic book reader
a personal photo
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, what is the priority nursing problem for the initial crisis plan - ANSWER-D.
thoughts of wanting to jump off a bridge
what are the priority nursing dx should be assessed within 72 hours of admission? -
ANSWER-risk for injury
altered nutrition
risk for withdrawal
What routine admission prescriptions should the RN question? - ANSWER-
acetaminophen (counter indicated with alcohol abuse due to liver damage)
Which lab results indicate to the nurse that matt probably has liver disease? -
ANSWER-increased AST (the amount of AST in the blood is directly related to
the number of damaged cells)
Goal most important for alcohol detox? - ANSWER-physiologic stabilization
Assessment most important for safe alcohol detox? - ANSWER-vital signs q4
When should the nurse begin to assess for withdrawal - ANSWER-within 4-6 hrs
of last drink (right answer on quiz) (lecture said 4-12 hours)
What should the nurse anticipate if matt experiences sx of early withdrawal from
alcohol - ANSWER-tremors, nausea, vomiting
what mech of action accounts for sx of alcohol withdrawal delirium - ANSWER-
increased dopamine (alcohol represses GABA, which inhibits dopamine and keeps
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
Questions and Answers 100% Pass
CAGE assessment first question - ANSWER-Have you ever thought you should
cut down on your drinking?
what action should the nurse take next? - ANSWER-further assess the client's
drinking behaviors
if it is determined that matt is dependent on alcohol which information should the
nurse obtain in order to predict the onset of withdraw symptoms - ANSWER-The
last time the client consumed an alcoholic beverage
what data supports the need for admission to the hospital? - ANSWER-thoughts
of wanting to jump off a bridge
what items can the nurse allow nick to keep in his room? - ANSWER-unlaced
tennis shoes
an electronic book reader
a personal photo
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, what is the priority nursing problem for the initial crisis plan - ANSWER-D.
thoughts of wanting to jump off a bridge
what are the priority nursing dx should be assessed within 72 hours of admission? -
ANSWER-risk for injury
altered nutrition
risk for withdrawal
What routine admission prescriptions should the RN question? - ANSWER-
acetaminophen (counter indicated with alcohol abuse due to liver damage)
Which lab results indicate to the nurse that matt probably has liver disease? -
ANSWER-increased AST (the amount of AST in the blood is directly related to
the number of damaged cells)
Goal most important for alcohol detox? - ANSWER-physiologic stabilization
Assessment most important for safe alcohol detox? - ANSWER-vital signs q4
When should the nurse begin to assess for withdrawal - ANSWER-within 4-6 hrs
of last drink (right answer on quiz) (lecture said 4-12 hours)
What should the nurse anticipate if matt experiences sx of early withdrawal from
alcohol - ANSWER-tremors, nausea, vomiting
what mech of action accounts for sx of alcohol withdrawal delirium - ANSWER-
increased dopamine (alcohol represses GABA, which inhibits dopamine and keeps
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
