A client is seen in the Emergency Department (ED) following a motor vehicle accident. The client's blood alcohol level (BAL) is 0.11 g/dL. The nurse assesses that this client:
must perform other psychomotor tests to determine intoxication.
is legally intoxicated.
would be considered intoxicated depending on state law requirements.
has a BAL within legal limits.
The Correct Answer is B
B. In the United States, the legal limit for blood alcohol concentration (BAC) is 0.08%. A BAC of 0.11 g/dL exceeds this limit, indicating that the client is indeed legally intoxicated.
A. Psychomotor tests, such as field sobriety tests, may be performed to assess the client's level of impairment and determine if they are intoxicated when the BAL is below threshold for intoxication.
C. State laws do not vary in this regard for the legal limit of BAC for driving; however, penalties and specific charges can vary from state to state.
D. A blood alcohol level (BAL) of 0.11 g/dL is above the legal limit for driving in many jurisdictions, where the legal limit is typically set at 0.08 g/dL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Naloxone administration can rapidly reverse the effects of opioids, potentially leading to the rapid onset of opioid withdrawal symptoms, which may include respiratory depression. Therefore, close monitoring of the client's airway, respiratory rate, oxygen saturation, blood pressure, and heart rate is critical to ensure their safety and stability.
A. Assessing and managing the client's gastrointestinal status may be necessary depending on the clinical situation but it is not the most urgent concern immediately following naloxone administration.
C. Assessing urinary output and ensuring adequate fluid balance is important. However, it is not the highest priority immediately after naloxone administration.
D. Hyperpyrexia, or extremely high fever, is not a common immediate concern following naloxone administration.
Correct Answer is C
Explanation
C. Sodium intake can influence lithium excretion and affect serum lithium levels. Maintaining a consistent and adequate sodium intake is important for stabilizing serum lithium levels and optimizing the medication's therapeutic effects.
A. Patients should have their serum lithium levels checked regularly, typically every 3 months, not just every 6 months as suggested.
B. Clients should never adjust their lithium dose without consulting their healthcare provider. Lithium dosage adjustments should be made only under the guidance and supervision of a healthcare professional based on the client's clinical response, serum lithium levels, and overall treatment plan.
D. Adequate hydration is essential for overall health and well-being, and dehydration can increase the risk of lithium toxicity.
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