A nurse is discussing alcohol tolerance with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
"Alcohol tolerance causes the client to have an increased effect when taking opiates."
"Alcohol tolerance can result in a decreased physical response to alcohol."
"A client who has alcohol tolerance develops physical changes when they haven't recently ingested alcohol."
"Alcohol tolerance is a medical emergency and can develop as a result of withdrawal."
The Correct Answer is B
A. "Alcohol tolerance causes the client to have an increased effect when taking opiates." Alcohol tolerance is specific to alcohol and does not directly increase the effect of opiates. However, cross-tolerance with other sedatives (e.g., benzodiazepines) may occur.
B. "Alcohol tolerance can result in a decreased physical response to alcohol." Alcohol tolerance develops as the body adapts to frequent alcohol use, requiring higher amounts to achieve the same effects.
C. "A client who has alcohol tolerance develops physical changes when they haven't recently ingested alcohol." This describes alcohol dependence, not tolerance. Physical changes, such as withdrawal symptoms, occur with dependence.
D. "Alcohol tolerance is a medical emergency and can develop as a result of withdrawal." Tolerance develops over time with frequent alcohol use. Withdrawal symptoms are the result of dependence, not tolerance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Acupuncture: While it may be used as a complementary therapy, it is not a primary approach.
B. Prayer: This may provide personal comfort but is not a medical treatment.
C. Hypnosis: Hypnosis is not widely used or validated for substance abuse treatment.
D. Detoxification: Detoxification is the process of safely removing a substance from the body, often under medical supervision.
Correct Answer is D
Explanation
A. Place the client in a private room: While privacy can be helpful, it is not the priority intervention in alcohol withdrawal care.
B. Pad the side rails of the bed with towels: This is a safety measure to prevent injury during seizures but should follow the assessment of disorientation.
C. Accompany the client when ambulating: Fall prevention is important, but assessing the client’s level of disorientation takes precedence.
D. Determine the client's level of disorientation: The first step in care is assessing the client's mental status and level of disorientation to identify immediate needs and risks.
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