A nurse in an acute care facility is planning care for a client who has a history of alcohol use disorder and is admitted while intoxicated. Which of the following interventions should the nurse plan for the client?

Administer methadone hydrochloride.

Monitor for orthostatic hypotension.

Acidify the client's urine.

Implement seizure precautions.

Answer and Explanation

The Correct Answer is D

A.   Methadone hydrochloride is not indicated for the management of alcohol intoxication or withdrawal. It is primarily used for opioid addiction treatment.
B.   While monitoring for orthostatic hypotension is important in clients with alcohol use disorder, implementing seizure precautions is a higher priority because alcohol withdrawal can lead to
seizures.
C.   Acidifying the client's urine is not indicated in the care of an intoxicated client with alcohol use disorder.
D.   Implementing seizure precautions is essential in clients with alcohol use disorder who are at risk for alcohol withdrawal syndrome, which can include seizures as a potential complication.

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Correct Answer is D

Explanation

A. This statement reflects a realistic acknowledgment of the grieving process and does not necessarily indicate clinical depression.
B. Expressing dependence on family support is a common coping mechanism during grief and does not necessarily indicate clinical depression.
C. Feelings of anger are common during the grieving process and do not necessarily indicate clinical depression.
D. Feeling numb or anhedonic, the inability to experience pleasure, is a symptom commonly associated with clinical depression and should be reported to the provider for further evaluation and intervention.

A. The client walks their dog daily. B. The client's best friend moved away. C. The client exercises in the morning. D. The client has stopped drinking coffee.

Correct Answer is B

Explanation

A. Walking the dog daily can contribute positively to the client's recovery by promoting physical activity and potentially reducing stress.
B. The loss of social support due to the best friend moving away can increase stress and negatively impact the client's recovery.
C. Exercising in the morning can also contribute positively to recovery by promoting physical health and potentially reducing stress.
D. Stopping drinking coffee may have various effects on the client's health but is not directly related to recovery from coronary artery bypass surgery unless it exacerbates other issues such as anxiety or withdrawal symptoms.

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Body system	Findings
Neurological	Impaired cognition

	Insomnia Seizures
Cardiovascular	Increased blood pressure Increased heart rate Diaphoresis
Gastrointestinal	Lack of appetite Vomiting
Musculoskeletal	Malaise Tremulousness

A nurse in an acute care facility is planning care for a client who has a history of alcohol use disorder and is admitted while intoxicated. Which of the following interventions should the nurse plan for the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression?

Correct Answer is D

Explanation

A home health nurse is visiting a client who is recovering from coronary artery bypass surgery and reports experiencing stress. The nurse should determine that which of the following factors might interfere with the client's recovery?

Correct Answer is B

Explanation

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