Nokea
a nurse is discussing short and long term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. which of the following statements is appropriate for the nurse to include in the discussion?
- A. you will be taking a once weekly dose of disulfiram to help control withdrawal symptoms during treatment
- B. remaining physically active will help to minimize drowsiness and chills associated with initial alcohol withdrawal.
- C. attending Al anon meetings will help you identify a role model to assist you with making needed changes
- D. you will begin learning functional skills to replace defense mechanisms and behaviors while in treatment
Correct Answer: B
Rationale: The correct answer is B. Remaining physically active can help minimize drowsiness and chills associated with initial alcohol withdrawal. Physical activity can help regulate mood, reduce anxiety, and improve overall well-being during withdrawal. It can also distract from cravings and provide a healthy coping mechanism.
Choice A is incorrect because disulfiram is not used to control withdrawal symptoms but rather as a deterrent to drinking by causing unpleasant reactions if alcohol is consumed.
Choice C is incorrect because Al-Anon meetings are for family and friends of individuals struggling with alcohol use disorder, not for the individual themselves.
Choice D is incorrect because learning functional skills is important for long-term recovery but may not specifically address initial withdrawal symptoms.
You may also like to solve these questions
a community health nurse is educating a parent about the importance of hepatitis B immunization. which of the following explanations should the nurse give the parent about the disease?
- A. one dose of the immunization gives children lifelong protection from hepatitis B
- B. hepatitis B spreads easily among children through casual contact
- C. many people who acquire acute hepatitis B develop chronic hepatitis
- D. people who have had a hepatitis B infection still need the immunization
Correct Answer: B
Rationale: The correct answer is B: Hepatitis B spreads easily among children through casual contact. This is the most appropriate explanation to give the parent because hepatitis B is primarily transmitted through contact with infected blood or body fluids, making children especially vulnerable due to their frequent interactions. Choice A is incorrect as multiple doses are needed for full protection. Choice C is incorrect as not everyone with acute hepatitis B develops chronic hepatitis. Choice D is incorrect because previous infection does not guarantee lifelong immunity.
A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse include in the teaching?
- A. You should have a complete eye examination every 2 years until the age of 64.
- B. You should have your hearing screened every 5 years.
- C. You should have your stool tested for blood every other year until the age of 74.
- D. You should have your fasting blood glucose level checked every 6 years.
Correct Answer: C
Rationale: The correct answer is C: You should have your stool tested for blood every other year until the age of 74. This is important for early detection of colorectal cancer, which is recommended starting at age 50. Stool testing for blood helps identify any signs of bleeding in the digestive tract, a potential indicator of colorectal cancer. The other choices are incorrect because eye examinations should be done annually after age 65, hearing screening should be done every 3-5 years, fasting blood glucose should be checked more frequently for diabetes screening, and stool testing for blood should be continued beyond age 74 due to the ongoing risk of colorectal cancer.
a nurse is counseling a client who has a new diagnosis of chlamydia. which of the following information should the nurse include in the teaching? (select all that apply)
- A. you should avoid sexual contact until therapy is complete
- B. notify anyone with whom you have had sexual contact over the past 2 months
- C. you will need to take an antiviral medication for 30 days
- D. once your complete treatment you will have an acquired immunity against chlamydia
- E. you might experience painful urination until the infection has resolved
Correct Answer: D
Rationale: The correct answer is D. The nurse should include in the teaching that once the client completes treatment for chlamydia, they will not have acquired immunity against chlamydia. This is important information for the client to understand to prevent future infections. The other options are incorrect for the following reasons: A is incorrect because sexual contact should be avoided until therapy is complete to prevent spreading the infection. B is incorrect because the client should notify all recent sexual partners, not just those within the past 2 months. C is incorrect because chlamydia is a bacterial infection, not a viral infection, so antibiotics, not antivirals, are used for treatment. E is incorrect because painful urination is a symptom of chlamydia, not a side effect of treatment.
During a home health visit a school age child who has muscular dystrophy confidesin the nurse that he was struck by his parents. which of the following actions should the nurse take first?
- A. report the incident to local authorities
- B. check the child for injuries
- C. refer the parent to a social service agency
- D. enroll the parent in anger management classes.
Correct Answer: A
Rationale: The correct answer is A: report the incident to local authorities. The nurse's first priority is to ensure the safety and well-being of the child. Reporting to local authorities is crucial to protect the child from further harm and to initiate an investigation. Checking for injuries (B) is important but secondary to ensuring the child's safety. Referring the parent to a social service agency (C) or enrolling them in anger management classes (D) does not address the immediate safety concerns of the child. In this situation, immediate action through reporting to authorities is the most appropriate course of action.
a school nurse is implementing health screening. which of the following assessment finding should the nurse recognize as the highest priority?
- A. a child who has a BMI of 18
- B. an adolescent who has scoliosis
- C. an adolescent who has psoriasis
- D. a child who has nits
Correct Answer: B
Rationale: The correct answer is B: an adolescent who has scoliosis. Scoliosis is a condition where the spine curves abnormally, potentially leading to serious health issues if not addressed early. The nurse must prioritize assessing scoliosis as it can affect the individual's posture, mobility, and even breathing. BMI of 18 (choice A) may indicate underweight but doesn't pose an immediate health threat. Psoriasis (choice C) is a skin condition that, while uncomfortable, is not life-threatening. Nits (choice D) are treatable and not urgent.