A nurse is caring for a client who is experiencing acute alcohol toxicity. Which of the following actions should the nurse include in the plan?

Administer a stimulant to the client.

Administer a diuretic to the client.

Measure the client's urine specific gravity.

Insert an NG tube for the client.

Answer and Explanation

The Correct Answer is C

A. Stimulants should not be administered to clients with acute alcohol toxicity, as they can increase agitation and cardiovascular stress.
B. Diuretics are not used for alcohol toxicity because they do not effectively eliminate alcohol and may contribute to dehydration.
C. Measuring urine specific gravity helps assess hydration status and kidney function, which can be affected by acute alcohol toxicity.
D. An NG tube is not routinely indicated unless the client is at risk for aspiration or requires gastric lavage due to severe intoxication.

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Correct Answer is B

Explanation

A. Schedule the client for an MRI after the procedure. This is incorrect because an MRI is not required following a thoracentesis. Instead, a chest X-ray may be ordered to assess for complications such as a pneumothorax.
B. Place the client leaning forward over the overbed table. This is correct because this position allows for optimal lung expansion and easier access to the pleural space for fluid removal.
C. Encourage the client to take deep breaths during the procedure. This is incorrect because the client should remain still and avoid deep breathing or coughing to prevent lung injury.
D. Ensure the client has been NPO for 6 hr. This is incorrect because NPO status is not required for a thoracentesis, as it is not a gastrointestinal or sedation-based procedure.

A. "I will receive general anesthesia for this procedure." B. "I will see dark spots in my vision after this procedure." C. "I can expect my eyelids to be bruised after this procedure." D. "I know the provider will replace the lens in my eyes during this procedure."

Correct Answer is D

Explanation

A. Cataract surgery is typically performed under local anesthesia with sedation, not general anesthesia.
B. Seeing dark spots is not a common or expected outcome. Some clients may experience temporary blurriness, but not dark spots.
C. Bruising of the eyelids is not a typical side effect of cataract removal. There may be mild swelling or redness, but significant bruising is unusual.
D. Cataract removal involves removing the cloudy lens and replacing it with an artificial intraocular lens (IOL) to restore clear vision. This statement shows the client understands the procedure.

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A nurse is caring for a client who is experiencing acute alcohol toxicity. Which of the following actions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following actions should the nurse include in the plan?

Correct Answer is B

Explanation

A nurse is caring for a client who is preoperative for cataract removal. Which of the following statements by the client indicates an understanding of the procedure?

Correct Answer is D

Explanation

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