In response to a question regarding the use of alcohol, a patient asks the nurse why the nurse needs to know. What is the reason for needing this information?

Alcohol can interact with medications and can make some diseases worse

This information is necessary to determine the patient’s reliability

This information is not necessary unless a drinking problem is obvious

The nurse needs to be able to teach all patients to avoid any alcohol consumption

Answer and Explanation

The Correct Answer is A

Choice A reason: Alcohol can interact with medications, altering their metabolism via liver enzymes (e.g., CYP450), and exacerbate conditions like liver disease or hypertension. This information is critical for safe treatment planning, making it the primary reason for inquiry.

Choice B reason: Assessing patient reliability is not the purpose of asking about alcohol use. This question focuses on clinical implications, not trustworthiness, as alcohol’s effects on health and medications are the priority, making this an incorrect rationale.

Choice C reason: Alcohol use is relevant even without an obvious drinking problem, as even moderate consumption can affect medication efficacy or disease progression. Dismissing this question unless a problem is evident overlooks potential risks, making this incorrect.

Choice D reason: Teaching all patients to avoid alcohol is not universally necessary, as moderate use may be safe for some. The inquiry aims to identify specific risks, like drug interactions, not to enforce blanket abstinence, making this an incorrect reason.

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Correct Answer is A

Explanation

Choice A reason: Clubbing, characterized by bulbous nail bed enlargement, is associated with chronic hypoxemia from conditions like asthma or COPD. It results from long-term low oxygen levels, making it the expected finding in this patient with chronic respiratory issues.

Choice B reason: Onychomycosis is a fungal nail infection unrelated to hypoxemia or asthma. Clubbing is directly linked to chronic oxygen deficiency, so this is not the expected nail condition in this patient’s context.

Choice C reason: Spooning (koilonychia) is associated with iron deficiency anemia, not hypoxemia or asthma. Clubbing is the nail abnormality seen in chronic respiratory conditions, so this is incorrect for the patient’s condition.

Choice D reason: Paronychia is an infection around the nail, typically from trauma or bacteria, not hypoxemia. Clubbing is the hallmark nail change in chronic asthma with low oxygen, so this is not the expected finding.

A. Appendix B. Spleen C. Gallbladder D. Spine

Correct Answer is A

Explanation

Choice A reason: Tenderness in the right lower quadrant on light palpation is a classic sign of appendicitis, as the appendix is located in this region. Inflammation causes localized peritoneal irritation, leading to pain, which may be accompanied by rebound tenderness or guarding, making this the correct structure.

Choice B reason: The spleen is located in the left upper quadrant, not the right lower quadrant. Tenderness in the right lower quadrant does not correspond to splenic pathology, such as splenomegaly or rupture, making this an incorrect structure for the described finding.

Choice C reason: The gallbladder is in the right upper quadrant, where tenderness might suggest cholecystitis. Right lower quadrant tenderness does not align with gallbladder pathology, as its anatomical location is distinct, making this an incorrect structure for the observed symptom.

Choice D reason: The spine is a midline structure, and tenderness in the right lower quadrant is unrelated to spinal pathology. Spinal issues typically cause back or radicular pain, not localized abdominal tenderness, making this an incorrect choice for the finding.

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In response to a question regarding the use of alcohol, a patient asks the nurse why the nurse needs to know. What is the reason for needing this information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse examines a patient who has asthma and chronic hypoxemia. The nurse would expect to find which condition of the nails?

Correct Answer is A

Explanation

During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse recognizes this finding could indicate a problem with what structure?

Correct Answer is A

Explanation

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