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Questions 164

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Question 1 of 5

After successful alcohol detoxification, a client remarked to a friend, 'I've tried to stop drinking but I just can't. I can't even work without having a drink.' The client's belief that he needs alcohol indicates his dependence is primarily

Correct Answer: A

Rationale: With psychological dependence, it is the client's thoughts and attitude toward alcohol that produce craving and compulsive use.

Question 2 of 5

An adult is hospitalized following a myocardial infarction. While the client is receiving heparin, the nurse should have which of the following medications available?

Correct Answer: D

Rationale: Protamine sulfate is the antidote for heparin overdose, reversing its anticoagulant effects in case of bleeding.

Question 3 of 5

In addition to disturbances in mental awareness and orientation, a client with cognitive impairment is also likely to show loss of ability in

Correct Answer: C

Rationale: Learning, creativity, and judgment. Cognitive impairments are due to physiological processes that affect memory and other higher-level cognitive processes.

Question 4 of 5

A 4-year old is scheduled for a routine tonsillectomy. Which of the following lab findings should be reported to the doctor?

Correct Answer: C

Rationale: A white cell count of 16,000 is elevated, suggesting infection, which must be reported before surgery. Hemoglobin , platelets , and urine specific gravity are normal.

Question 5 of 5

A client with a recent spinal cord injury is experiencing dysreflexia and is noted to have a BP of $240 / 110$. The nurse's initial response should be to:

Correct Answer: B

Rationale: Elevating the head to a 45° angle helps reduce blood pressure in autonomic dysreflexia by promoting venous return and reducing intracranial pressure.

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