A client with a history of alcohol addiction says, "My body feels fine when I abstain from alcohol consumption, but I miss my late night glasses of wine." Which concept should the nurse discuss with the client?

Tolerance.

Craving.

Withdrawal.

Denial.

Answer and Explanation

The Correct Answer is B

A. Tolerance: Tolerance refers to the need for increasing amounts of a substance to achieve the same effect. The client is not describing a need for more alcohol, but rather a desire for it, so tolerance is not the main concept.

B. Craving: Craving is an intense desire or urge to use a substance despite awareness of negative consequences. The client’s statement about missing late-night wine reflects a psychological and physiological urge, making craving the most appropriate concept to discuss.

C. Withdrawal: Withdrawal involves physical and psychological symptoms that occur when a person stops using a substance. The client reports feeling fine physically, indicating withdrawal is not occurring.

D. Denial: Denial is a defense mechanism in which the person refuses to acknowledge a problem. The client openly admits missing alcohol, so denial is not applicable in this context.

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Correct Answer is B

Explanation

A. Report any increase in the white blood cell count: An elevated WBC may indicate infection, but this is a late finding and does not directly prevent recurrence. Reporting lab changes is important but not the most immediate or effective intervention

B. Change the surgical dressing when soiled: Keeping the surgical site clean and dry is the most critical step in preventing wound infection, particularly in clients with a history of MRSA. A soiled dressing promotes bacterial growth and increases the risk of reinfection, making timely dressing changes essential.

C. Wear a face mask while performing wound care: A face mask protects against droplet spread but MRSA is primarily transmitted by direct contact. While masks may reduce overall infection risk, they are less critical than maintaining strict wound and dressing hygiene.

D. Instruct the family to adhere to contact precautions: Family education is important in preventing MRSA transmission, but in the immediate postoperative period, the nurse’s priority is direct wound care. Preventing contamination at the surgical site takes precedence.

A. Monitor for desquamation and normal flora overgrowth. B. Wash skin between application of topical antiparasitic doses. C. Keep the child's nails short and encourage use of hand mittens. D. Shave the body hair before applying the scabicide lotion.

Correct Answer is C

Explanation

A. Monitor for desquamation and normal flora overgrowth: While monitoring skin integrity is important, this does not directly prevent the primary complication of scabies, which is secondary bacterial infection from scratching.

B. Wash skin between application of topical antiparasitic doses: Washing between doses can remove the medication prematurely, reducing its effectiveness. The lotion should remain on for the prescribed time before being washed off.

C. Keep the child's nails short and encourage use of hand mittens: Trimming nails and using mittens reduce scratching and skin breakdown, which lowers the risk of bacterial superinfection, the main complication of scabies in children.

D. Shave the body hair before applying the scabicide lotion: Shaving is not recommended, as scabicide is effective when applied to the skin surface. Shaving may cause irritation and increase discomfort without improving treatment outcomes.

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A client with a history of alcohol addiction says, "My body feels fine when I abstain from alcohol consumption, but I miss my late night glasses of wine." Which concept should the nurse discuss with the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The nurse is planning care for a child who is suffering from persistent itching due to scabies. Which measure should the nurse implement to minimize this child's risk for complications?

Correct Answer is C

Explanation

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