A nurse in a rehabilitation center is planning care for a newly admitted client who has a history of alcohol use disorder. Which of the following client goals is the highest priority?

The client will implement alternative strategies for managing anxiety.

The client will acknowledge alcohol dependence and need for treatment.

The client's withdrawal from alcohol will be managed without complications.

The client will rebuild damaged interpersonal relationships.

Answer and Explanation

The Correct Answer is C

A. The client will implement alternative strategies for managing anxiety.

While addressing anxiety is important for the overall well-being of the client, it may not be the highest priority in this context. The immediate physical safety of the client during alcohol withdrawal takes precedence over addressing anxiety.

B. The client will acknowledge alcohol dependence and need for treatment.

Recognizing alcohol dependence and the need for treatment is an important step, but it may not be the highest priority. It is more focused on the client's acceptance and understanding of their situation rather than addressing immediate health risks.

C. The client's withdrawal from alcohol will be managed without complications.

This is the correct answer. Managing alcohol withdrawal without complications is the highest priority goal in this scenario. Alcohol withdrawal can lead to severe physical symptoms, including seizures and delirium tremens, which can be life-threatening. Ensuring the safe and medically supervised management of withdrawal is crucial for the client's immediate well-being.

D. The client will rebuild damaged interpersonal relationships.

While repairing damaged relationships is important for the client's overall rehabilitation, it's not the highest priority in this context. Physical health and safety take precedence over addressing interpersonal issues.

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Correct Answer is D

Explanation

A. "Tell me who you think doesn't care about you."

Explanation: This response might come across as confrontational or defensive, which could discourage the client from opening up further. It's important to offer support and understanding rather than putting the client on the spot.

B. "Of course people care. Your family comes to visit every day."

Explanation: While it's true that the client's family visits, depression often distorts perception and emotions. Telling the client that people care might not be fully effective in addressing their feelings of worthlessness.

C. "Why do you feel that way?"

Explanation: This response opens the door for the client to express their emotions and thoughts. It encourages further conversation and helps the nurse understand the underlying causes of the client's feelings.

D. "I care about you, and I am concerned that you feel so sad."

Explanation: Correct Answer. This response shows empathy and genuine concern for the client's well-being. It acknowledges the client's emotions, offers support, and validates their feelings.

Correct Answer is ["24"]

Explanation

To calculate the mL/hr for the heparin infusion, you can use the formula:

mL/hr = (Total units required per hour) / (Units/mL in the solution)

Given:

Total units required per hour = 1,200 U/hr

Units/mL in the solution = 25,000 U / 500 mL = 50 U/mL

Plugging in the values:

mL/hr = (1,200 U/hr) / (50 U/mL)

mL/hr = 24 mL/hr (rounded to the nearest tenth)

Therefore, the nurse should set the IV pump to deliver 24 mL/hr for the heparin infusion.

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A nurse in a rehabilitation center is planning care for a newly admitted client who has a history of alcohol use disorder. Which of the following client goals is the highest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client becomes very dejected and states, "No one really cares what happens to me. Life isn't worth living anymore." Which of the following responses should the nurse make?

Correct Answer is D

Explanation

Correct Answer is ["24"]

Explanation

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