You are the nurse on an orthopedic unit assigned to care for Mr. Smith, a 48 year old construction worker who

You are the nurse on an orthopedic unit assigned to care for Mr. Smith, a 48 year old construction worker who underwent surgical fixation of a fractured femur two days ago. The injury happened when Mr. Smith fell off a ladder at his workplace. When assessing Mr. Smith, you note the following symptoms: • B/P 180/88, temp 98.6, pulse 110, resp 22. • moderate diaphoresis, mild itching with complaints of a mild burning sensation on his arms and legs • mild photophobia and visual disturbances • moderate hand tremors when arms are extended and fingers are spread • moderately fidgety and restless • oriented times 3 • no auditory disturbances noted • moderate headache • mild nausea • states mildly anxious Mr. Smith is also complaining of operative pain and is now due for his every 6 hour dose of Vicodin 10 mg. He states this pain medication has been effective. Mr. Smith says, “I really feel like I could use a drink!” Upon further assessment (using the CAGE questions), you determine Mr. Smith is an alcoholic who has consumed at a least a six-pack of beer every evening after work and up to 18 beers a day on the

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