The patient has been brought to the emergency department after ...

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The patient has been brought to the emergency department after being found by his mother at home. The patient's blood alcohol level is currently 0.51. Which findings are consistent with this information?
 
  Select all that apply.
  1. A sternal rub was performed with no response elicited.
  2. The patient's respiratory rate is eight breaths per minute.
  3. The patient's radial and pedal pulses are bounding.
  4. The patient states, I sleep for a long time, but I never feel rested when I wake up.
  5. The patient states, I really think I can drive myself home. I am fine

Question 2

The nurse reviews the long-term effects of alcohol use with a patient who has experienced chronic alcoholism for 25 years. Which patient statements indicate that addition teaching is required?
 
  Select all that apply.
  1. My yellow skin is really just caused by the thiamine deficiency.
  2. My problems with COPD weren't because I smoke; it's because I was drinking so much.
  3. I was surprised to learn that my coronary artery disease may have been worsened by my drinking.
  4. I think I would've stopped drinking a long time ago if I had known that it may have caused my impotence.
  5. My mom was an alcoholic and died from breast cancer and it may have been the result of her drinking.

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Answer to Question 1

Correct Answer: 1, 2

With this blood alcohol level, the patient is likely to be in a coma. The patient's respiratory rate may be very depressed. The peripheral pulses are more likely to be weak and thready due to peripheral vascular collapse, which would make it difficult for the nurse to palpate. The patient is not likely to be talking to the nurse about the quality of his sleep or about his ability to drive.

Answer to Question 2

Correct Answer: 1, 2

Patients who have severely damaged their livers because of alcohol abuse may be more likely to exhibit yellow skin and sclera. Jaundice is unrelated to a vitamin B1 deficiency. The patient who smokes cigarettes is more likely to develop asthma. Asthma is not necessarily associated with drinking alcohol. The patient had an increased risk of developing heart problems by drinking alcohol. The patient had an increased chance of developing impotence by drinking. The patient's mother had an increased risk of developing breast cancer due to her alcoholism.

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TYSM

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Excellent