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 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 3 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.
Question 4 of 5
The nurse is caring for a patient admitted to the hospital after an automobile accident who has a blood alcohol concentration (BAC) of 48 mmol/L (0.22 mg%). The patient is alert and does not appear highly intoxicated. Which of the following nursing actions should the nurse implement?
Correct Answer: D
Rationale: The patient's assessment data indicate physiological dependence on alcohol, and the patient is likely to develop acute withdrawal such as anxiety, hyper-reflexia, and sweating, which could be life-threatening. Acetaminophen is not recommended because it is metabolized by the liver. IV thiamine and IV glucose solutions usually are given to intoxicated patients to prevent Wernicke's encephalopathy, and there is no indication that the patient should be NPO.
Question 5 of 5
A patient who is alcohol-intoxicated must undergo emergency surgery for abdominal trauma. Which of the following should the nurse anticipate when caring for the patient in the perioperative period?
Correct Answer: B
Rationale: Patients who are intoxicated at the time of surgery are at increased risk for problems with bleeding and respiratory complications such as aspiration. In an intoxicated patient, a lower dose of anesthesia is used because of the synergistic effect of the alcohol. Withdrawal is likely to occur later in the postoperative course because the medications used for anesthesia, sedation, and pain will delay withdrawal symptoms. The patient should be monitored frequently for oversedation but does not need to be stimulated.