The nurse is obtaining a health history for a client prior to a scheduled cholecystectomy. While interviewing the client, which assessment technique should the nurse use when asking about the client's use of illegal drugs and alcohol?

Obtain a drug urine screen to verify legitimacy of client's stated history.

Use the term illegal or illicit to describe street drugs.

Allow the client to decline answering social questions.

Ask specifically about alcohol, marijuana, cocaine, heroin, and amounts.

Answer and Explanation

The Correct Answer is D

A. Obtain a drug urine screen to verify the legitimacy of the client's stated history. This may be necessary but is not the initial approach for obtaining a health history.

B. Use the term illegal or illicit to describe street drugs. Using stigmatizing terms may make the client uncomfortable and less likely to disclose information.

C. Allow the client to decline answering social questions. The nurse should encourage open communication, but also respect the client's right to privacy.

D. Ask specifically about alcohol, marijuana, cocaine, heroin, and amounts. This is the correct approach. Specific questions about substances and quantities help obtain accurate information.

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Correct Answer is D

Explanation

A. Chronic pancreatitis. Chronic pancreatitis pain is often associated with eating and not relieved by food. Pain is typically more constant and can radiate to the back.

B. Gastroesophageal reflux (GERD). GERD typically causes heartburn and regurgitation, especially after eating, rather than pain that is relieved by eating.

C. Esophagitis. Esophagitis causes pain with swallowing and discomfort in the chest, not specifically relieved by eating.

D. Peptic ulcer disease (PUD). This is the best choice because PUD pain typically presents as gnawing or burning epigastric pain that is relieved by eating or taking antacids.

A. Sternum. B. Lung apex. C. Clavicle. D. Aortic site.

Correct Answer is B

Explanation

A. Sternum. Auscultating directly over the sternum does not provide optimal lung sounds.

B. Lung apex. This is the best choice as auscultation should begin at the lung apex to systematically cover all lung fields.

C. Clavicle. Auscultating over the clavicle does not provide optimal lung sounds.

D. Aortic site. The aortic site is for heart sounds, not lung sounds.

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The nurse is obtaining a health history for a client prior to a scheduled cholecystectomy. While interviewing the client, which assessment technique should the nurse use when asking about the client's use of illegal drugs and alcohol?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An adult client presents with gnawing epigastric pain. The pain is worse when the client is hungry and abates after eating something. Which problem do these symptoms suggest?

Correct Answer is D

Explanation

When systematically auscultating a client's anterior breath sounds, the nurse should begin by placing the stethoscope over which location?

Correct Answer is B

Explanation

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