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Author Question: The nurse is assessing a patient using the CAGE Questionnaire. The patient answers yes to all of the ... (Read 79 times)

arivle123

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on: Jul 22, 2018
The nurse is assessing a patient using the CAGE Questionnaire. The patient answers yes to all of the questions. The nurse suspects alcoholism and feels the patient is in denial when the patient makes which statement?
 
  a. I go to meetings once a day and still drink.
  b. My family and friends have been avoiding me lately.
  c. I don't have a problem with alcohol. I can quit anytime I want to.
  d. I know it will be hard to quit, but I am willing to try.

Question 2

A patient who was admitted 24 hours ago has become increasingly irritable and now says there are bugs on his bed. Which condition should the nurse suspect?
 
  a. Alcohol-induced psychosis
  b. Delirium tremens (DTs)
  c. Neurologic injury related to a fall
  d. Posttraumatic stress reaction


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lorealeza

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Reply #1 on: Jul 22, 2018
Answer to Question 1

ANS: C
The patient may need help admitting that there is a problem. The CAGE is designed to objectively assist in assessing problems related to alcohol use. A patient who states they are going to meetings is admitting they have a problem even if they still drink. Admitting that quitting is difficult is acceptance that there is a problem. Reality is setting in for a patient who can see that family and friends are avoiding them.

Answer to Question 2

ANS: B
During the 6 to 96 hours after last alcohol use, patients may experience DTs, as evidenced by disorientation, nightmares, abdominal pain, nausea, and diaphoresis, as well as elevated temperature, pulse rate, and blood pressure measurement and visual and auditory hallucinations.


arivle123

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Reply 2 on: Jul 22, 2018
Excellent

juliaf

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Reply 3 on: Yesterday
Great answer, keep it coming :)

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