The employee health nurse is providing care to an employee who ...

[misspop]

The employee health nurse is providing care to an employee who was injured on the job. The client has a history of drug addiction and is currently enrolled in a 12-step recovery program.
 
  In order to determine whether the employee was impaired at the time of the accident, which diagnostic tool will the nurse use?
  A) Liver enzymes
  B) Stool guaiac
  C) Urine toxicology testing
  D) Hair testing

Question 2

The nurse is providing care to a client diagnosed with alcoholism. The client's physical examination reveals a BMI of 18.
 
  Which prescription does the nurse anticipate to manage the client's nutritional status?
  A) Sertraline
  B) Methadone
  C) Naloxone
  D) Multivitamin with folic acid

[amy.lauersdorf90]

Answer to Question 1

Answer: C

Urine toxicology testing will determine whether the employee had drugs in his system during the shift in which the injury occurred. Hair testing can detect substance use for up to 90 days and is not an accurate tool to determine whether the employee was impaired at the time of the injury. Liver enzymes detect liver damage but are not specific to damage from substance abuse. A stool guaiac tests for blood.

Answer to Question 2

Answer: D

A client with alcohol dependence may suffer from numerous nutritional deficiencies, including deficiencies in thiamine, folic acid, vitamin A, magnesium, and zinc. A multivitamin may be prescribed to help with these deficiencies. Naloxone is used to manage an opiate overdose. Methadone is prescribed to manage heroin cravings. Sertraline is used to reduce anxiety and stabilize mood.

[misspop]

Excellent

[nyrave]

Great answer, keep it coming