A nurse is caring for an intoxicated alcoholic client admitted to ...

[jake]

A nurse is caring for an intoxicated alcoholic client admitted to the emergency department. Which of the following interventions is most important when caring for the client?
 
  A) Touch and calm the client frequently.
  B) Monitor the level of consciousness of the client.
  C) Monitor the client for an increase in respiratory rate.
  D) Encourage the client to watch television.

Question 2

A client is diagnosed with urticaria. The nurse explains to the client that this condition is caused by an allergic reaction. Which of the following types of allergic reaction is this client experiencing?
 
  A) Respiratory response
  B) Multisystem response
  C) Skin response
  D) Gastrointestinal response

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Answer to Question 1

B
Feedback:
The nurse should monitor the level of consciousness of the client. The nurse should avoid touching the client, because the client may react violently to physical contact. The nurse should monitor for a decrease in respiratory rate instead of an increase in respiration. The nurse should turn off the television and provide a calm environment to the client instead of encouraging the client to watch television.

Answer to Question 2

C
Feedback:
With urticaria (hives), reddened areas (erythema), itching (pruritus), and burning around swollen patches on the skin may appear. They appear suddenly and may disappear after a few hours or may last for a period of days or weeks. Hives can result from a variety of causes, including foods; additives; medications; viral, bacterial, or parasitic infections; or stress factors (e.g., heat, sun, cold, emotional stress). Asthma is an example of a respiratory response, and latex sensitivity is an example of an allergy with a multisystem response. A food allergy may cause a gastrointestinal response.

[jake]

TY

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