Author Question: A mother who has a history of chronic heroin use has lost custody of her children due to abuse and ... (Read 26 times)

burchfield96 · **on:** Jul 19, 2018

A mother who has a history of chronic heroin use has lost custody of her children due to abuse and neglect. She has been admitted to an inpatient drug rehabilitation program.

Which client statement should a nurse associate with a positive prognosis for this client?

A. I'm not going to use heroin ever again. I know I've got the willpower to do it this time.
B. I cannot control my use of heroin. It's stronger than I am.
C. I'm going to get all my children back. They need their mother.
D. Once I deal with my childhood physical abuse, recovery should be easy.

Question 2

Upon admission for symptoms of alcohol withdrawal, a client states, I haven't eaten in 3 days. Assessment reveals BP 170/100 mm Hg, P 110, R 28, and T 97F (36C) with dry skin, dry mucous membranes, and poor skin turgor.

What should be the priority nursing diagnosis?

A. Knowledge deficit
B. Fluid volume excess
C. Imbalanced nutrition: less than body requirements
D. Ineffective individual coping

javimendoza7 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: B
A positive prognosis is more likely when a client admits that he or she is addicted to a substance and has a loss of control. One of the first steps in the 12-step model for treatment is for the client to admit powerlessness over the substance.

Answer to Question 2

ANS: C
The nurse should assess that the priority nursing diagnosis is imbalanced nutrition: less than body requirements. The client is exhibiting signs and symptoms of malnutrition as well as alcohol withdrawal. The nurse should consult a dietitian, restrict sodium intake to minimize fluid retention, and provide small, frequent feedings of nonirritating foods.