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. They do not care that they lost their job and their partner: This statement reflects apathy but does not define addiction.
B. They filed for bankruptcy because of their debts and job loss: This is a consequence of their addiction, not a defining characteristic.
C. They are depressed over their current life situation: Depression may coexist with addiction but is not a defining characteristic.
D. They compulsively act on the urge to continue internet gaming and gambling even though they suffered negative consequences: The hallmark of addiction is the compulsive engagement in the behavior despite adverse outcomes.
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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