ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 11 Questions
Question 1 of 5
The nurse is assessing a patient who has a history of alcohol use. Which of the following assessment data should the nurse expect?
Correct Answer: D
Rationale: Abdominal pain associated with gastrointestinal tract and liver dysfunction is common in patients with persistent alcohol use. The other problems are not typically associated with alcohol use.
Question 2 of 5
The nurse is caring for a patient who takes methadone daily to prevent a relapse of heroin addiction and has been admitted for knee surgery. Which of the following actions should the nurse include in the plan of care to promote effective pain control postoperatively?
Correct Answer: B
Rationale: A patient addicted to opioids should receive them on an around-the-clock basis to prevent withdrawal. Normal opioid doses given on a PRN basis will not effectively relieve pain in a patient who has developed tolerance. NSAIDs may be used as adjuncts, but they should not be the primary analgesic used. Mixed opioid agonist-antagonist drugs can precipitate withdrawal in patients who have tolerance to opioids.
Question 3 of 5
The nurse is caring for a patient with alcohol dependence who has been admitted to the hospital with chest pain. Twenty-four hours after admission, the patient becomes very tremulous and anxious. Which of the following actions should the nurse implement?
Correct Answer: C
Rationale: The patient's symptoms suggest acute alcohol withdrawal, and a quiet and well-lit environment will help to decrease agitation, delusions, and hallucinations. There is no indication that the patient is dehydrated. Benzodiazepines, rather than opioids, are used to prevent withdrawal. IV lines are avoided whenever possible.
Question 4 of 5
The nurse is caring for a patient who smokes a pack of cigarettes daily and has been admitted to the hospital for surgery. In anticipation of nicotine withdrawal, which of the following goals should the nurse include when planning postoperative care?
Correct Answer: A
Rationale: Insomnia is a characteristic of nicotine withdrawal. Diarrhea, sore throat, and anorexia are not symptoms associated with nicotine withdrawal.
Question 5 of 5
The nurse is preparing to conduct an annual physical examination with a young adult patient who arrives in the clinic smelling of cigarette smoke and carrying a pack of cigarettes. Which action will the nurse plan to take?
Correct Answer: A
Rationale: Current national guidelines indicate that health care providers should urge patients who smoke to quit smoking at every encounter. The other actions will not help decrease the patient's health risks related to smoking.