A nurse is caring for a client who routinely drinks alcohol. Which of the following information should the nurse provide the client about alcohol consumption?

"Alcohol is metabolized in the kidneys."

"Alcohol can increase the chances of nephrotoxicity."

"Alcohol can decrease the chance of medication side effects."

"Medication can be metabolized faster when alcohol is consumed regularly."

Answer and Explanation

The Correct Answer is B

A. "Alcohol is metabolized in the kidneys." Alcohol is primarily metabolized in the liver, not the kidneys.

B. "Alcohol can increase the chances of nephrotoxicity." Chronic alcohol use can damage the kidneys and increase the risk of nephrotoxicity, especially when combined with nephrotoxic drugs (e.g., NSAIDs, aminoglycosides).

C. "Alcohol can decrease the chance of medication side effects." Alcohol can actually enhance medication side effects, such as sedation with CNS depressants or liver damage with acetaminophen.

D. "Medication can be metabolized faster when alcohol is consumed regularly." Chronic alcohol use induces liver enzymes, potentially altering metabolism, but it does not necessarily speed up drug metabolism for all medications.

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Correct Answer is D

Explanation

A. A 5 mL slip-tip syringe: A 5 mL syringe is the best option for measuring 6.25 mL, although it may require drawing up the medication in two separate amounts (e.g., 5 mL + 1.25 mL). A larger syringe (e.g., 10 mL) would be less precise.
B. An insulin syringe – Insulin syringes measure units of insulin, not milliliters, and are not appropriate for non-insulin medications.
C. A 1 mL TB syringe – This is used for very small doses (up to 1 mL) and is not practical for 6.25 mL.
D. A 3 mL syringe – This is too small for 6.25 mL.

A. Baked chicken B. Fresh fruit basket C. A factory sealed box of chocolates D. Bagels

Correct Answer is B

Explanation

A. Baked chicken: Safe if properly cooked, as heat kills bacteria.

B. Fresh fruit basket: A WBC count of 2,200/mm³ indicates neutropenia, increasing the risk of infections. Fresh fruits (unless thoroughly washed or peeled) may contain bacteria or fungi, posing an infection risk.

C. A factory-sealed box of chocolates: Sealed items reduce the risk of contamination.

D. Bagels: Processed and baked, so unlikely to carry harmful bacteria.

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A nurse is caring for a client who routinely drinks alcohol. Which of the following information should the nurse provide the client about alcohol consumption?

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