A nurse is preparing to perform an Alcohol Use Disorders identification Test with a client. Which of the following questions should the nurse Include?

"Why did you start drinking alcohol?"

"Does anyone else in your family have a drinking problem?"

"How old were you when you started to drink alcohol?"

"How often do you drink alcohol?”

Answer and Explanation

The Correct Answer is D

Rationale:

A. "Why did you start drinking alcohol?": This question explores motivations or personal history but is not part of the standardized Alcohol Use Disorders Identification Test (AUDIT). The AUDIT focuses on quantity, frequency, and consequences of alcohol use rather than reasons for drinking.

B. "Does anyone else in your family have a drinking problem?": Family history of alcohol use may be relevant for overall assessment but is not included in the AUDIT, which is designed to screen the client’s own drinking behaviors and risks.

C. "How old were you when you started to drink alcohol?": Age of initiation provides background information but is not a question within the AUDIT. The test is concerned with current patterns and consequences of alcohol consumption.

D. "How often do you drink alcohol?": This question is a standard component of the AUDIT and assesses the frequency of alcohol consumption. It helps identify patterns of use and potential risk for alcohol-related problems, making it appropriate for inclusion in the screening.

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Free Nursing Study Resources

Correct Answer is B

Explanation

Rationale:

A. Use gauze to secure an arm board to the involved extremity: Using gauze alone to secure an arm board is not recommended for a PICC line, as it can cause pressure, restrict circulation, and does not provide adequate stabilization. Specialized securement devices or adhesive dressings are preferred to maintain catheter integrity and prevent complications.

B. Measure the arm circumference above the insertion site daily: Daily measurement of the arm circumference helps detect early signs of swelling, infiltration, or thrombophlebitis, which are potential complications of PICC lines. Monitoring for changes allows prompt intervention and helps ensure safe catheter function.

C. Schedule an MRI postprocedure to verify placement: MRI is not used to verify PICC placement. Catheter tip placement is typically confirmed with chest X-ray or fluoroscopy immediately after insertion, which is the standard method for ensuring correct placement in the superior vena cava.

D. Administer sedation for the procedure: PICC line insertion is generally performed under local anesthesia, not systemic sedation. Routine sedation is not indicated for this minimally invasive procedure unless the client has severe anxiety or special considerations, making it unnecessary in standard care.

A. A client who has dementia B. A client who has osteoarthritis C. A client who has cystic fibrosis D. A client who has chronic hypertension

Correct Answer is C

Explanation

Rationale:

A. A client who has dementia: Dementia affects cognitive function but does not inherently increase susceptibility to respiratory complications from mold exposure. While general health monitoring is important, this client is not at high risk for mold-related adverse effects.

B. A client who has osteoarthritis: Osteoarthritis primarily affects joints and mobility. It does not compromise the respiratory system or immune response in a way that would increase vulnerability to mold exposure.

C. A client who has cystic fibrosis: Clients with cystic fibrosis have impaired mucociliary clearance and chronic respiratory vulnerability, making them more susceptible to respiratory infections and complications from environmental mold exposure. Mold inhalation can exacerbate pulmonary symptoms and lead to significant health risks.

D. A client who has chronic hypertension: Hypertension affects the cardiovascular system but does not directly increase susceptibility to respiratory complications from mold. This client is not considered high risk for adverse effects from mold exposure.

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A nurse is preparing to perform an Alcohol Use Disorders identification Test with a client. Which of the following questions should the nurse Include?

Nursing Test Bank

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