A 68-year-old man with a history of alcohol abuse is admitted to the acute care facility for reports of abdominal pain. Based on your understanding of alcohol withdrawal, the nurse knows that if patient is currently abusing alcohol, he will most likely.
develop withdrawal symptoms 48 to 72 hours after the last intake of alcohol
be prescribed oxazepam (Serax)
experience delirium tremors within 4 hours of hospitalization
receive 1 ounce of alcohol every 4 hours while awake
The Correct Answer is A
A. Symptoms of alcohol withdrawal typically begin within 6 to 24 hours after the last drink, with peak symptoms usually occurring between 48 and 72 hours. Delirium tremens (DTs), a severe form of withdrawal, usually develops within this timeframe if not managed properly.
B. This choice is partially correct but less specific. Oxazepam (Serax) is a benzodiazepine that can be prescribed to manage alcohol withdrawal symptoms, especially in patients with liver impairment, as it is metabolized differently from other benzodiazepines. However, it is not the only medication used; lorazepam (Ativan) and diazepam (Valium) are also commonly used to manage withdrawal symptoms.
C. This choice is less likely to be correct. Delirium tremens (DTs) is a severe form of alcohol withdrawal characterized by confusion, agitation, hallucinations, and autonomic instability. DTs typically develop between 48 and 72 hours after the last drink, not within 4 hours. Symptoms that occur within 4 hours of hospitalization are more likely to be early withdrawal symptoms rather than DTs.
D. This choice is not a standard treatment for alcohol withdrawal. While some facilities might use a tapering protocol to gradually reduce alcohol intake, in most cases, the goal is to manage withdrawal symptoms using medications rather than providing alcohol. The use of medication such as benzodiazepines is preferred to manage symptoms and prevent complications. Giving alcohol is not a standard or recommended approach for managing withdrawal in acute care settings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2044"]
Explanation
Approximately 29.5735 mL in a fluid ounce. So, the patient drank about 118.294 mL of orange juice (4 fl oz), 177.441 mL of apple juice (6 fl oz), and 147.8675 mL of cranberry juice (5 fl oz). Adding these amounts to the 1600 mL of water gives us a total of 2043.6025 mL.
Therefore, the nurse should document the patient's total intake as 2044 mL.
Correct Answer is C
Explanation
Number of tablets = Desired dose (mg) / Tablet strength (mg) Plugging in the given values:
Number of tablets = 0.125 mg / 0.25 mg/tablet Number of tablets = 0.5 tablet
Therefore, the nurse should prepare 0.5 tablet of digoxin to administer to the patient.
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