A client is admitted for the fourth time in 4 years for alcohol ...

[meagbuch]

A client is admitted for the fourth time in 4 years for alcohol detoxification. When planning care for this client, the nurse will include which pathophysiology aspect of alcoholism due to its impact on client care?
 
  A) Aging can impact the ability of the body to handle detoxification from alcohol and drugs.
  B) The withdrawal may be greater this time.
  C) The dependency might have been greater this time.
  D) Increased difficulty with alcohol detoxification is likely the result of an addiction to another substance at the same time.

Question 2

The nurse is evaluating outcome goals written by a student for a client diagnosed with alcoholism who is being discharged from a detoxification program. Which outcomes are appropriate for this client?
 
  Select all that apply.
  A) Follow a 2000-calorie high-carbohydrate diet.
  B) Sponsor a participant in Alcoholics Anonymous (AA) meetings.
  C) Obtain at least 6-8 hours of sleep per night.
  D) Acknowledge the blame that family members must take for codependent behavior.
  E) Enroll in the Employee Assistance Program (EAP) through his employer.

[nicoleclaire22]

Answer to Question 1

Answer: B

Subsequent episodes of withdrawal tend to get progressively worse due to kindling. Kindling refers to long-term changes in brain neurotransmission that occur after repeated detoxifications. Aging does not play a role in the process. There is no evidence to support the suspicion that the client is addicted to additional substances or has an increased degree of dependence.

Answer to Question 2

Answer: C, E

Outcome measures for a client discharging from alcohol detoxification are to obtain at least 6-8 hours of sleep a night and to enroll in the Employee Assistance Program if offered through the client's employer. The calorie requirement should be individualized and may not be 2000 calories. New or returning members to AA should be sponsored and are not ready to sponsor another person. This client should accept responsibility for his behavior in the family unit instead of assigning blame for codependent behavior.

[meagbuch]

Excellent

[peter]

TYSM