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Author Question: Which question is most appropriate when assessing a patient who is exhibiting symptoms of a systemic ... (Read 24 times)

jon_i

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Which question is most appropriate when assessing a patient who is exhibiting symptoms of a systemic infection including a fever of unknown origin?
 
  a. Are you an intravenous drug user?
  b. Have you been told that you drink too much alcohol?
  c. Have you been diagnosed with an acute bacterial infection before?
  d. Are you familiar with an infection of the heart called endocarditis?

Question 2

Which observation best supports the patient's success with achieving long-term sobriety?
 
  a. Asking a family member to, get rid of all the alcohol before I come home
  b. Identifying all the problems alcoholism has caused the family over the years
  c. Being able to discuss the importance of attending a support group for alcoholics
  d. Promising to, stop the drinking so I can be a good parent and raise a good child



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mjbamaung

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Answer to Question 1

ANS: A
Intravenous drug users are at risk for subacute bacterial endocarditis and other circulatory compromise created by foreign substances introduced during the process of intravenous use. Regardless of the setting, nurses need to ask about intravenous drug use whenever a patient presents with fever of unexplained origin. Assessing the patient's knowledge related to bac-terial infections and endocarditis will not address the possible cause of the fever. Alcohol consumption is not relevant in this situation.

Answer to Question 2

ANS: B
One of the most prominent factors that leads an individual to recovery is the patient's recog-nition that substance use has caused or influenced his or her life's problems and interrupted his or her functioning. The remaining options lack that element of self-reflection.





 

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