A patient with alcohol dependence is admitted to the hospital ...

[saraeharris]

A patient with alcohol dependence is admitted to the hospital with back pain following a fall. Twenty-four hours after admission, the patient becomes tremulous and anxious. Which action by the nurse is most appropriate?
 
  a. Insert an IV line and infuse fluids.
  b. Promote oral intake to 3000 mL/day.
  c. Provide a quiet, well-lit environment.
  d. Administer opioids to provide sedation.

Question 2

The nurse plans postoperative care for a patient who smokes a pack of cigarettes daily. Which goal should the nurse include in the plan of care for this patient?
 
  a. Improve sleep
  b. Enhance appetite
  c. Decrease diarrhea
  d. Prevent sore throat

[welcom1000]

Answer to Question 1

ANS: C
The patient's symptoms suggest acute alcohol withdrawal, and a quiet and well-lit environment will help decrease agitation, delusions, and hallucinations. There is no indication that the patient is dehydrated. Benzodiazepines, rather than opioids, are used to prevent withdrawal. IV lines are avoided whenever possible.

Answer to Question 2

ANS: A
Insomnia is a characteristic of nicotine withdrawal. Diarrhea, sore throat, and anorexia are not symptoms associated with nicotine withdrawal.