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ATI RN COMMUNITY HEALTH PROCTORED LATEST 2024 TEST BANK COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS ALREADY GRADED A+)

ATI RN COMMUNITY HEALTH PROCTORED LATEST 2024 TEST BANK COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS ALREADY GRADED A+)

ATI RN COMMUNITY HEALTH PROCTORED LATEST 2024 TEST BANK COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS ALREADY GRADED A+)

Chapter 23. Substance-Related and Addictive Disorders

1. What should be the priority nursing diagnosis for a client experiencing alcohol withdrawal?

A. Risk for injury R/T central nervous system stimulation
B. Disturbed thought processes R/T tactile hallucinations
C. Ineffective coping R/T powerlessness over alcohol use
D. Ineffective denial R/T continued alcohol use despite negative consequences - Answer-ANS: A
The priority nursing diagnosis for a client experiencing alcohol withdrawal should be risk for injury R/T central nervous system stimulation. Alcohol withdrawal may include the following symptoms: course tremors of hands, tongue, or eyelids; seizures; nausea or vomiting; malaise or weakness; tachycardia; sweating; elevated blood pressure; anxiety; depressed mood; hallucinations; headache; and insomnia.

A nurse evaluates a clients patient-controlled analgesia (PCA) pump and notices 100 attempts within a 30-minute period. Which is the best rationale for assessing this client for substance use disorder?

A. Narcotic pain medication is contraindicated for all clients with active substance-use problems.
B. Clients who are regularly using alcohol or benzodiazepines may have developed cross-tolerance to analgesics and require increased doses to achieve effective pain control.
C. There is no need to assess the client for substance use disorder. There is an obvious PCA malfunction.
D. The client is experiencing symptoms of withdrawal and needs to be accurately assessed for lorazepam (Ativan) dosage. - Answer-ANS: B
The nurse should assess the client for substance use disorder because clients who are regularly using alcohol or benzodiazepines may have developed cross-tolerance to analgesics and require increased doses to achieve effective pain control. Cross-tolerance occurs when one drug lessens the clients response to another drug.

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