1. The nurse is assisting with discharging a client from

1. The nurse is assisting with discharging a client from an inpatient alcohol treatment unit. Which of the following statements by the client’s wife indicates that the family is coping adaptively? a. “My husband will do well as long as I keep him engaged in activities that he likes.” b. “My focus is learning how to live my life.” c. “I am so glad that our problems are behind us.” d. “I will make sure that the children do not give my husband any problems.” 2. A client with a history of alcohol use disorder is transferred to the unit in an agitated state. He is vomiting and diaphoretic. He says he had his last drink 5 hours ago. The nurse would expect to administer which of the following medications? a. Librium b. Antabuse c. Methadone d. Naltrexone 3. The nurse is reinforcing teaching with a client who is scheduled for a paracentesis. Which of the following statements by the client indicates that teaching has been successful? a. “I will be in surgery in less than an hour.” b. “I must not void before the procedure.” c. “The physician will remove 2-3 liters of fluid.” d. “I will lie on my stomach breathing slowly.” 4. Which medication to maintain abstinence would most likely be prescribed for patients with an addiction to either alcohol or opioids? a. Bromocriptine (Parlodel) b. Disulfiram (Antabuse) c. Methadone (Dolophine) d. Naltrexone (ReVia) 5. A client who is withdrawing from alcohol is being given lorazepam (Ativan). The client’s family asks the nurse about the medication. What is the best response by the nurse? a. ” Short-term use of lorazepam can lead to dependence.” b. ” The lorazepam will reduce the symptoms of withdrawal.” c. ” The lorazepam will make him forget about symptoms of withdrawal.” d. ” The lorazepam will also help with his heart disease.” 6. On the first day of a client’s alcohol detoxification, which nursing intervention should take priority? a. Strongly encourage the client to attend 90 Alcoholics Anonymous meetings in 90 days. b. Educate the client about the biopsychosocial consequences of alcohol abuse. c. Administer ordered chlordiazepoxide (Librium) in a dosage according to protocol. d. Administer vitamin B1 to prevent Wernicke-Korsakoff syndrome. 7. A nurse holds the hand of a client who is withdrawing from alcohol. What is the nurse’s rationale for this intervention? a. To assess for emotional strength b. To assess for Wernicke-Korsakoff syndrome c. To assess for tachycardia d. To assess for fine tremors ***Watch video and answer these questions https://www.youtube.com/watch?v=qjyvRQFbseQ&t=4s 1. Why do you think this is his or her favorite? 2. Two Things you learned? 3. Your thoughts on the content and how it was presented? 4. What is your thought on the heart attack and overdose example? 5. Share with me how this information had an impact on you if you are comfortable.

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