When assessing a client for alcohol use, the nurse utilizes the CAGE acronym, what does E stand for?
Do you need to eat while drinking?
Are your eyes able to focus in the morning?
Are you able to evaluate your behavior?
Do you need an eye-opener (another drink) in the morning?
The Correct Answer is D
The CAGE acronym is a brief screening tool used to assess alcohol misuse or dependence. It consists
of four questions that can be easily remembered using the acronym CAGE:
C - Have you ever felt you needed to Cut down on your drinking?
A - Have you ever felt Annoyed by criticism of your drinking? G - Have you ever felt Guilty about your drinking?
E - Have you ever felt the need for an Eye-opener (drink) in the morning?
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Auscultating breath sounds is an essential component of a respiratory assessment. The following breath sounds can be heard during auscultation: Vesicular, Bronchial, Bronchovesicular, Crackles, Wheezes, and Rhonchi.
Vesicular sounds at the apex of the lungs (a) and vesicular sounds at the base of the lungs on the posterior chest (c) are normal findings. Vesicular sounds are soft and low-pitched, heard during inspiration, and are indicative of air moving through small airways and alveoli. The vesicular sounds are louder at the base of the lungs, where there is more alveolar tissue.
Rhonchi that disappear with coughing (d) can be normal or abnormal findings. Rhonchi are low-pitched, continuous sounds that are heard during inspiration and expiration. They are produced by the movement of air through narrowed or obstructed airways. If the rhonchi disappear with coughing, it may indicate that the airway has cleared.
Wheezes on inspiration (b) are abnormal findings and require prompt follow-up. Wheezes are high-pitched, whistling sounds heard during inspiration and expiration. They are indicative of air moving through narrowed airways and can be a sign of an underlying respiratory condition such as asthma, chronic obstructive pulmonary disease (COPD), or bronchitis. Prompt follow-up is necessary to diagnose and manage the underlying condition.
Correct Answer is C
Explanation
A visual acuity of 20/25 means that the patient can read letters on an eye chart at 20 feet away, which is the same as what someone with normal vision can read at 25 feet away. This indicates that the patient's visual acuity is slightly below average, but still within the normal range.
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