The nurse must be able to distinguish between alcohol ...

[Davideckstein7]

The nurse must be able to distinguish between alcohol intoxication and alcohol withdrawal to intervene appropriately. The nurse suspects alcohol intoxication when the patient does which of the following? (Select all that apply.)
 
  a. Slurs his speech when answering questions
  b. Has difficulty remembering his address
  c. Reports seeing snakes in the corner of the room
  d. Documents his blood pressure as 168/90
  e. Experiences difficulty when walking to the bathroom

Question 2

When caring for older adults, the nurse expects to encounter the normal urinary age-related outcome of
 
  a. urinary incontinence.
  b. low-grade bladder infection.
  c. nocturia.
  d. urinary residual volume.

[cdmart10]

Answer to Question 1

A, B, E
Signs associated with alcohol intoxication include the scent of alcohol on the breath, slurred speech, lack of coordination, unsteady gait, nystagmus, impairment in attention or memory, and stupor or coma. Manifestations of alcohol withdrawal are elevated blood pressure, elevated pulse, and autonomic hyperactivity. In addition, fever; increased hand tremors; insomnia, nausea and vomiting; transient visual, tactile, or auditory hallucinations or illusions; psychomotor agitation; anxiety; and grand mal seizures may occur.

Answer to Question 2

C
With age, increased urine formation at night leads to nocturia. The other findings are not age-related changes.

[Davideckstein7]

TY

[cdmart10]

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