The nurse believes that a client being admitted for a surgical ...

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The nurse believes that a client being admitted for a surgical procedure may have a drinking problem. How should the nurse further evaluate this possibility?
 
  A. By asking directly if the client has ever had a problem with alcohol
  B. By holistically assessing the client, using the CIWA scale
  C. By using a screening tool such as the CAGE questionnaire
  D. By referring the client for physician evaluation

Question 2

In assessing a client with polysubstance abuse, the nurse should recognize that withdrawal from which substance may require a life-saving emergency intervention?
 
  A. Dextroamphetamine (Dexedrine)
  B. Diazepam (Valium)
  C. Morphine (Astramorph)
  D. Phencyclidine (PCP)

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Answer to Question 1

C
The CAGE questionnaire is a screening tool used to determine whether the individual has a problem with alcohol. This questionnaire is composed of four simple questions. Scoring two or three yes answers strongly suggests a problem with alcohol.

Answer to Question 2

B
If large doses of a central nervous system (CNS) depressant (such as Valium) are repeatedly administered over a prolonged duration, a period of CNS hyperexcitability occurs on withdrawal of the drug. The response can be quite severe, even leading to convulsions and death.