The nurse is performing a history and physical examination on a ...

[mynx]

The nurse is performing a history and physical examination on a client with chronic alcoholism.
 
  The client has a history of gastritis, esophagitis, elevated liver enzymes, cardiomyopathy, and pancreatitis. Which of these conditions are attributable to his history of alcohol abuse?
  A) Pancreatitis and elevated liver enzymes
  B) Gastritis and elevated liver enzymes
  C) Pancreatitis, esophagitis, gastritis, and elevated liver enzymes
  D) All the conditions are likely attributable to the alcohol abuse.

Question 2

A client tells the nurse that she went to a party and had several drinks. When she woke up the next morning, she could not remember driving home. What does the nurse suspect?
 
  A) The client had a blackout.
  B) The client was using other drugs in addition to alcohol.
  C) The client has an underlying neurologic problem.
  D) The client has alcoholic amnestic disorder.

[ebe]

Answer to Question 1

Ans: D
Feedback:
Various medical conditions may alert the nurse to the early recognition of alcohol abuse problems, including gastritis or gastric ulcers, pancreatitis, esophagitis, mild to moderate hypertension, cardiomyopathy, arrhythmias, alcoholic hepatitis, cirrhosis of the liver, decreased white blood cell production, decreased granulocyte adherence, and thrombocytopenia, or cancers of the mouth, pharynx, larynx, esophagus, pancreas, stomach, and colon.

Answer to Question 2

Ans: A
Feedback:
During a blackout, the person appears to function normally while drinking but later is unable to remember what occurred. The blackout may last a few hours or several days. The person may come out of the blackout period and wonder, Where did I leave my car last night? He or she may wake up in a strange place unable to remember leaving home and wonder, How did I get here? or Was I with someone?

[mynx]

TY

[ebe]

Happy to Help