Nokea
When assessing an alcoholic patient, the nurse notes short-term memory loss, painful extremities, foot drop, and muttered incoherent responses to questions. The nurse recognizes these symptoms as most likely related to a condition caused by long-term alcohol abuse, which is known as syndrome.
Correct Answer: Korsakoff
Rationale: Korsakoff syndrome is a permanent condition caused by long-term alcohol use. The patient mutters incoherently and experiences short-term memory loss, painful extremities, and foot drop.
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During the detoxification period, what does the nurse aim to achieve when designing interventions?
- A. Enroll the patient in Alcoholics Anonymous (AA).
- B. Keep the patient safe from aspiration and seizure.
- C. Help the patient interact in nonaddictive activities.
- D. Help the patient gain insight into the addiction.
Correct Answer: B
Rationale: Care for the addicted patient starts with detoxification and is focused on keeping the patient safe from the symptoms of withdrawal. Enrolling the patient in AA, helping the patient interact in nonaddictive activities, and helping the patient gain insight into the addiction would be part of the rehabilitation process.
Alcohol is involved in motor vehicle accidents, suicides, and homicides. Approximately how many deaths each year are related to alcohol consumption?
- A. 58,000
- B. 78,000
- C. 88,000
- D. 108,000
Correct Answer: C
Rationale: About 88,000 deaths each year are related to alcohol consumption.
What severe side effect will occur if an alcoholic patient consumes alcohol while taking disulfiram (Antabuse)?
- A. Nausea
- B. Blackouts
- C. Headaches
- D. Hypertension
Correct Answer: A
Rationale: When a person who is taking Antabuse consumes alcohol, severe nausea, tachycardia, shortness of breath, confusion, and dizziness are experienced. The drug is used as a form of aversion therapy.
A pregnant adolescent tells the nurse that she 'only drinks a little.' How many drinks per day can cause an adverse effect in an infant?
- A. One drink a day
- B. Two drinks a day
- C. Three drinks a day
- D. Four drinks a day
Correct Answer: B
Rationale: As few as two drinks per day may cause adverse effects in an infant.
What should the entire health team focus on during the rehabilitation phase?
- A. Establishing a support system
- B. Seeking and maintaining employment
- C. Abstaining from drug use
- D. Addressing the problems related to addiction
Correct Answer: C
Rationale: The focus of rehabilitation is for the patient to abstain from drug use.