This topic contains a solution. Click here to go to the answer

Author Question: The nurse is conducting a holistic assessment of a client diagnosed with alcoholism. Which priority ... (Read 63 times)

futuristic

  • Hero Member
  • *****
  • Posts: 638
The nurse is conducting a holistic assessment of a client diagnosed with alcoholism. Which priority questions should the nurse include in the assessment?
 
  1. Did you see your parents drink alcohol when you were growing up?
  2. How old were you when you started drinking?
  3. Have you ever attended Alcoholic Anonymous meetings?
  4. Have you been treated with any medications that are designed to discourage consumption of alcohol?
  5. Have any of your blood relatives been addicted to alcohol?

Question 2

An African-American adult client is prescribed a sulfonamide drug to treat an infection. Why would the nurse question this prescribed medication order?
 
  1. The client has a history of a penicillin allergy.
  2. The client may exhibit slow acetylation which can impact the effect of the medication.
  3. The client has a history of hypertension.
  4. The client may not metabolize the medication due to CYP2D6.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

akudia

  • Sr. Member
  • ****
  • Posts: 347
Answer to Question 1

Correct Answer: 1,2,3,5
Rationale 1: Environmental questions are valid questions to ask during a holistic assessment.
Rationale 2: This question helps to determine the length of time alcohol has been a problem for this client.
Rationale 3: Participation in Alcoholic Anonymous assesses nonpharmacologic measures the client may have pursued and is relevant to a holistic assessment.
Rationale 4: This question is asking about medical treatment, which is not holistic in nature.
Rationale 5: Biologic questions are valid questions to ask during a holistic assessment.
Global Rationale: Environmental questions are valid questions to ask during a holistic assessment. Asking the age when drinking began helps to determine the length of time alcohol has been a problem for this client. Participation in Alcoholic Anonymous assesses nonpharmacologic measures the client may have pursued and is relevant to a holistic assessment. Biologic questions are valid questions to ask during a holistic assessment. Asking about medical treatment is not holistic in nature.

Answer to Question 2

Correct Answer: 2
Rationale 1: A penicillin allergy would not cause the nurse question this medication order.
Rationale 2: African-American clients may not be able to metabolize this mediation effectively because of the slow acetylation that is can occur when taking sulfa based medications. This can increase the risk of toxicity. The nurse should question this medication order.
Rationale 3: A history of hypertension would not cause the nurse to question this medication order.
Rationale 4: CYP2D6 does not impact sulfa medications and would not cause the nurse to question this medication order.
Global Rationale: African-American clients may not be able to metabolize this mediation effectively because of the slow acetylation that is can occur when taking sulfa based medications. This can increase the risk of toxicity. The nurse should question this medication order. A penicillin allergy would not cause the nurse question this medication order. A history of hypertension would not cause the nurse to question this medication order. CYP2D6 does not impact sulfa medications and would not cause the nurse to question this medication order.




futuristic

  • Member
  • Posts: 638
Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it


cam1229

  • Member
  • Posts: 329
Reply 3 on: Yesterday
Gracias!

 

Did you know?

When Gabriel Fahrenheit invented the first mercury thermometer, he called "zero degrees" the lowest temperature he was able to attain with a mixture of ice and salt. For the upper point of his scale, he used 96°, which he measured as normal human body temperature (we know it to be 98.6° today because of more accurate thermometers).

Did you know?

Drug-induced pharmacodynamic effects manifested in older adults include drug-induced renal toxicity, which can be a major factor when these adults are experiencing other kidney problems.

Did you know?

Tobacco depletes the body of vitamins A, C, and E, which can result in any of the following: dry hair, dry skin, dry eyes, poor growth, night blindness, abscesses, insomnia, fatigue, reproductive system problems, sinusitis, pneumonia, frequent respiratory problems, skin disorders, weight loss, rickets, osteomalacia, nervousness, muscle spasms, leg cramps, extremity numbness, bone malformations, decayed teeth, difficulty in walking, irritability, restlessness, profuse sweating, increased uric acid (gout), joint damage, damaged red blood cells, destruction of nerves, infertility, miscarriage, and many types of cancer.

Did you know?

Ether was used widely for surgeries but became less popular because of its flammability and its tendency to cause vomiting. In England, it was quickly replaced by chloroform, but this agent caused many deaths and lost popularity.

Did you know?

The National Institutes of Health have supported research into acupuncture. This has shown that acupuncture significantly reduced pain associated with osteoarthritis of the knee, when used as a complement to conventional therapies.

For a complete list of videos, visit our video library