Which assessment observation is the best support for a patient's ...

[future617RT]

Which assessment observation is the best support for a patient's diagnosis of alcoholism?
 
  a. Reporting, I messed up three marriages.
  b. Testing positive for hepatitis B virus (HBV)
  c. Admission that, I drink more than I should.
  d. A positive response to three items on the CAGE test

Question 2

A patient recently discharged from an alcohol rehabilitation program is brought to the hospital in a state of prostration with severe throbbing headache, tachycardia, a beet-red face, dyspnea, and continuous vomiting.
 
  The patient's significant other states the patient got sick about 15 minutes after drinking a glass of wine. The nurse should be guided in assessment by the suspicion that the patient:
  a. Is having a stroke
  b. Has alcohol intoxication
  c. Is reacting to disulfiram (Antabuse)
  d. Is exhibiting symptoms of cross-dependence

[Tonyam972]

Answer to Question 1

ANS: D
The CAGE questionnaire is a well-validated screening instrument. A positive response to two of the four items of the CAGE questionnaire indicates a potential problem with alcoholism. Although the remaining options are recognized red flags for possible alcoholism, they lack the selectivity of the screening tool.

Answer to Question 2

ANS: C
The alcohol deterrent drug, Antabuse, commonly prescribed in recovering alcoholic treat-ment, causes this reaction when taken in combination with alcohol. Alcohol intoxication, stroke, and cross-dependence do not present with the listed prostration symptoms.

[future617RT]

Gracias!

[irishcancer18]

TYSM