A middle-aged male who drinks a "fifth of liquor" every night is brought to the clinic for a pre-arranged family intervention. After each family member confronts the client, the healthcare provider tells the client that he will be heading to the hospital for detoxification. The client shouts at the practical nurse (PN) that he sees no reason for hospitalization. How should PN respond?
Listen attentively to the client's expression of anger, then support the family's wish that the client be hospitalized.
Tell the client that monitoring and medication management during detoxification is best provided in the hospital.
Explain to the client that his family cares about him and wants him to be hospitalized during detoxification.
Use a mater-of-fact manner to inform the client that hospitalization is necessary during detoxification.
The Correct Answer is B
Detoxification can be a difficult and potentially dangerous process, and it's important for the client to receive proper monitoring and medication management during this time. The hospital is equipped to provide this level of care and support. The practical nurse should explain this to the client and emphasize the importance of receiving proper care during detoxification.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Fetal heart rate (FHR) is one of the essential indicators of fetal well-being during labor. A fall in FHR following each contraction is known as recurrent deceleration and can be an indication of fetal distress. In this case, the PN should first reposition the client laterally, as this may help to alleviate compression of the umbilical cord and improve fetal oxygenation.
A. Administering oxygen at 10 L/face mask may be necessary, but it is not the first intervention to be implemented in this scenario.
B. Discontinuing oxytocin infusion may be necessary, but it is not the first intervention to be implemented in this scenario.
C. Observing perineum for cord prolapse is not necessary in this scenario.
Correct Answer is A
Explanation
The first action the PN should take is to check the client's serum human chorionic gonadotropin (hCG) level. This hormone is produced by the placenta and can provide important information about the viability of the pregnancy.
Option B, verifying the date of the last menstrual cycle, can provide useful information about the gestational age of the pregnancy but is not the first priority.
Option C, repeating a urine pregnancy test, can confirm the presence of a pregnancy but does not provide information about its viability.
Option D, inquiring about the last occurrence of intercourse, is not relevant to addressing the client's immediate concern of vaginal bleeding.
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