Author Question: Which is a priority outcome for the client who is diagnosed with chronic alcoholism and liver ... (Read 61 times)

HudsonKB16 · **on:** Jul 23, 2018

Which is a priority outcome for the client who is diagnosed with chronic alcoholism and liver damage?

1. The client will switch to a safer drug, such as a benzodiazepine.
2. The client will become involved in Alcoholics Anonymous (AA).
3. The client will learn to drink more responsibly.
4. The client will keep all appointments with the doctor that is treating the liver damage.

Question 2

The client had been abusing cocaine for several years. Recently, the client snorted cocaine that was much purer than was thought, resulting in an overdose.

The client died in the emergency department. What does the nurse recognize as the most likely cause of death?
1. Impurities in the cocaine
2. Bowel ischemia
3. Rhabdomyolysis
4. Respiratory arrest

djofnc · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: The priority outcome, and a principle of Alcoholics Anonymous (AA), is complete abstinence from mood-altering substances, so the client should not use benzodiazepines.
Rationale 2: Long-term management for alcohol abuse includes behavioral counseling and self-help groups, such as Alcoholics Anonymous (AA).
Rationale 3: Drinking more responsibly is not appropriate; the client must abstain from all alcohol.
Rationale 4: Keeping all medical appointments is a good outcome, but does not address the problem of the client's continued use of alcohol.
Global Rationale: Long-term management for alcohol abuse includes behavioral counseling and self-help groups, such as Alcoholics Anonymous (AA). The priority outcome, and a principle of Alcoholics Anonymous (AA), is complete abstinence from mood-altering substances, so the client should not use benzodiazepines. Drinking more responsibly is not appropriate; the client must abstain from all alcohol. Keeping all medical appointments is a good outcome, but does not address the problem of the client's continued use of alcohol.

Answer to Question 2

Correct Answer: 4
Rationale 1: Impurities in the cocaine would not have resulted in the death of the client.
Rationale 2: Bowel ischemia would not occur with a cocaine overdose.
Rationale 3: Rhabdomyolysis would not occur with a cocaine overdose.
Rationale 4: Overdose of cocaine can result in dysrhythmias, convulsions, stroke, or death due to respiratory arrest.
Global Rationale: Overdose of cocaine can result in dysrhythmias, convulsions, stroke, or death due to respiratory arrest. Impurities in the cocaine would not have resulted in the death of the client. Bowel ischemia would not occur with a cocaine overdose. Rhabdomyolysis would not occur with a cocaine overdose.