The blood alcohol level of a client admitted last night with a ...

[sarasara]

The blood alcohol level of a client admitted last night with a compound fracture of the femur
  sustained in a fall while intoxicated was not assessed at the time of admission. The nurse should
 
  a. request that the blood be drawn stat for this test.
  b. do nothing because the time for the assessment has passed.
  c. obtain a Breathalyzer from the emergency department to assess blood alcohol
  level.
  d. ask the client about quantity and frequency of recent drinking and when she had
  her last drink.

Question 2

A nurse caring for a client on suicide precautions talks with a new staff nurse about the client's
  suicide attempt, saying I have come to understand that I cannot control anyone's suicidal ideas or
  impulses.
 
  Clients are in charge of their own lives.. This understanding means the nurse
  a. does not assume any responsibility for treatment outcomes.
  b. can see herself and the client as partners in planning outcomes.
  c. will defer to the client's judgment about outcomes.
  d. takes minimal responsibility for instilling hope.

[TheDev123]

Answer to Question 1

D
These questions allow the nurse to gain vital information about the likelihood of withdrawal
symptoms occurring and the general time of their onset. The blood alcohol level at the time of
admission is useful for assessment purposes but is not a necessity. Options A and C: Information
relevant for planning can be obtained with option D. Option B is not the best solution. Ascertaining
if and when withdrawal symptoms may appear is important.

Answer to Question 2

B
The nurse's statement indicates she has no rescue fantasies and no illusions that she can control
outcomes. She recognizes the client as an autonomous individual. In recognizing autonomy, the
nurse knows that client can be helped to explore and choose adaptive alternatives. Option A: Nurses
cannot divest themselves of accountability for treatment outcomes. Option C: Nurses are
accountable for using good judgment in helping clients select outcomes. Option D: Nurses cannot
divest themselves of responsibilities such as instilling hope.

[sarasara]

Excellent

[kishoreddi]

TYSM