Author Question: The nurse is conducting a holistic assessment of a client diagnosed with alcoholism. Which priority ... (Read 52 times)

futuristic · **on:** Jul 23, 2018

The nurse is conducting a holistic assessment of a client diagnosed with alcoholism. Which priority questions should the nurse include in the assessment?

1. Did you see your parents drink alcohol when you were growing up?
2. How old were you when you started drinking?
3. Have you ever attended Alcoholic Anonymous meetings?
4. Have you been treated with any medications that are designed to discourage consumption of alcohol?
5. Have any of your blood relatives been addicted to alcohol?

Question 2

An African-American adult client is prescribed a sulfonamide drug to treat an infection. Why would the nurse question this prescribed medication order?

1. The client has a history of a penicillin allergy.
2. The client may exhibit slow acetylation which can impact the effect of the medication.
3. The client has a history of hypertension.
4. The client may not metabolize the medication due to CYP2D6.

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

Answer to Question 1

Correct Answer: 1,2,3,5
Rationale 1: Environmental questions are valid questions to ask during a holistic assessment.
Rationale 2: This question helps to determine the length of time alcohol has been a problem for this client.
Rationale 3: Participation in Alcoholic Anonymous assesses nonpharmacologic measures the client may have pursued and is relevant to a holistic assessment.
Rationale 4: This question is asking about medical treatment, which is not holistic in nature.
Rationale 5: Biologic questions are valid questions to ask during a holistic assessment.
Global Rationale: Environmental questions are valid questions to ask during a holistic assessment. Asking the age when drinking began helps to determine the length of time alcohol has been a problem for this client. Participation in Alcoholic Anonymous assesses nonpharmacologic measures the client may have pursued and is relevant to a holistic assessment. Biologic questions are valid questions to ask during a holistic assessment. Asking about medical treatment is not holistic in nature.

Answer to Question 2

Correct Answer: 2
Rationale 1: A penicillin allergy would not cause the nurse question this medication order.
Rationale 2: African-American clients may not be able to metabolize this mediation effectively because of the slow acetylation that is can occur when taking sulfa based medications. This can increase the risk of toxicity. The nurse should question this medication order.
Rationale 3: A history of hypertension would not cause the nurse to question this medication order.
Rationale 4: CYP2D6 does not impact sulfa medications and would not cause the nurse to question this medication order.
Global Rationale: African-American clients may not be able to metabolize this mediation effectively because of the slow acetylation that is can occur when taking sulfa based medications. This can increase the risk of toxicity. The nurse should question this medication order. A penicillin allergy would not cause the nurse question this medication order. A history of hypertension would not cause the nurse to question this medication order. CYP2D6 does not impact sulfa medications and would not cause the nurse to question this medication order.