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 C
Explanation
Objective data are measurable and observable findings that can be obtained through physical examination, laboratory tests, or other diagnostic procedures.
Option A is subjective data because it is information reported by the patient and may not be entirely accurate. Option Bis also subjective data because it is the patient's perception of their weight loss, which may not be an accurate reflection of actual weight loss.
Option Dis also subjective data because it relies on the patient's self-report of their alcohol intake, which may not be entirely accurate.
Correct Answer is B
Explanation
When assessing the heart, the nurse will inspect and palpate the precordium, which is the area of the chest overlying the heart, and the PMI (point of maximal impulse), which is the point on the chest where the heartbeat is the strongest. These assessments allow the nurse to gather information about the size, shape, and location of the heart and to detect any abnormalities in the heartbeat or rhythm. The peritoneum is a membrane lining the abdominal cavity and has no relevance in the assessment of the heart. The tricuspid area and left sternal border are areas of the chest that may be auscultated to assess heart sounds but are not palpated during a heart assessment.
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