When assessing a client for alcohol use, the nurse utilizes the CAGE acronym, what does E stand for?
Do you need to eat while drinking?
Are your eyes able to focus in the morning?
Are you able to evaluate your behavior?
Do you need an eye-opener (another drink) in the morning?
The Correct Answer is D
The CAGE acronym is a brief screening tool used to assess alcohol misuse or dependence. It consists
of four questions that can be easily remembered using the acronym CAGE:
C - Have you ever felt you needed to Cut down on your drinking?
A - Have you ever felt Annoyed by criticism of your drinking? G - Have you ever felt Guilty about your drinking?
E - Have you ever felt the need for an Eye-opener (drink) in the morning?
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The role of a registered nurse in a genitalia examination is mainly inspection and palpitation.
During a genitalia examination, the nurse will visually inspect the genital area for any abnormalities, lesions, or signs of infection. This may include examining the external genitalia, such as the vulva or penis, as well as the anus and surrounding area.
The nurse may also palpate, or gently touch, the genital area to check for any tenderness, swelling, or lumps that could indicate a problem. However, auscultation (listening with a stethoscope) and percussion (tapping on the body) are not typically part of a genitalia examination.
It is important to note that a genitalia examination should always be performed in a professional and respectful manner, with clear communication between the nurse and the patient throughout the process.
Correct Answer is ["B","E"]
Explanation
A. Dilated pupils in response to dimmed lights are a normal response and not an indication of a
vision problem.
B. Pupils that remain dilated during an accommodation test indicate that the client may have an
issue with their autonomic nervous system and is not able to adjust their pupil size appropriately.
C. Far vision acuity of 20/20 bilaterally indicates normal vision.
D. A symmetrical pupillary light reflex response is a normal finding and not an indication of a vision
problem.
E. Frowning and squinting while reading the Snellen chart may indicate that the client is having difficulty seeing the letters clearly and may have a vision problem.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today