The nurse is performing an initial assessment on an alcoholic patient. Which of the following actions by the nurse would best ensure honest answers?
Having a nonjudgmental attitude
Promising the patient not to tell anyone
Not asking personal questions
Including the family
The Correct Answer is A
A. Having a nonjudgmental attitude: A nonjudgmental attitude fosters trust and openness, encouraging the patient to provide honest answers.
B. Promising the patient not to tell anyone: This may be unethical and impractical as certain information may need to be shared for the patient's care.
C. Not asking personal questions: Personal questions are necessary to understand the patient's condition and provide appropriate care.
D. Including the family: Including the family might inhibit the patient's honesty due to fear of judgment or privacy concerns.
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Related Questions
Correct Answer is D
Explanation
A. Monitor for signs of seizure activity: Seizure activity is not directly related to the condition described.
B. Increase the IV rate and monitor for burn shock: Increasing the IV rate could exacerbate fluid overload; burn shock is more of a concern in the initial hours post-burn.
C. Raise the foot of the bed and apply blankets. This is not relevant to addressing the issue of large urine output.
D. Assess for signs of fluid overload: After the initial fluid resuscitation phase, large urine output may indicate that fluid is being mobilized from the tissues back into the vascular system, potentially leading to fluid overload.
Correct Answer is B
Explanation
A. 3 hours: Withdrawal symptoms usually do not appear as soon as 3 hours after cessation.
B. 6 hours: Alcohol withdrawal symptoms typically begin 6 to 12 hours after the last drink.
C. 4 hours: This is slightly early for the typical onset of withdrawal symptoms.
D. 5 hours: While close, the more common range is around 6 hours.
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