A client is admitted to the hospital for alcohol intoxication. The family reports that he is a heavy drinker and has been admitted several times for alcohol detoxification. When can the nurse expect to observe the first symptoms of withdrawal?

Within 24 hours

Within 8 hours

Within 18 hours

Within 72 hours

Answer and Explanation

The Correct Answer is B

A.   24 hours is a long time for alcohol withdrawal symptoms to occur.
B.   Alcohol withdrawal symptoms typically begin within 6 to 8 hours after the last drink for
individuals with a history of heavy alcohol use. These symptoms can range from mild anxiety and tremors to more severe symptoms like seizures and delirium tremens. It's crucial for
healthcare providers to monitor and manage alcohol withdrawal symptoms, as they can be life- threatening in severe cases.
C.   Alcohol withdrawal symptoms occur within 6 to 8 hours, not 18 hours.
D.   Alcohol withdrawal symptoms occur within 6 to 8 hours, not 72 hours.

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Correct Answer is D

Explanation

A. Attempting to deescalate the client is important, but ensuring immediate safety is the top priority.
B. Continuing to observe the client may lead to a further escalation of the situation. Safety measures should be taken first.
C. While offering medications may be necessary, ensuring safety is the immediate priority before any interventions are implemented.
D. Ensuring the safety of the client and others is the priority in situations of escalating agitation.

A. Allow him to continue the conversation at his own pace. B. Redirect the conversation to assist him in focusing on the topic. C. Stop him and tell him how his conversation sounds to others. D. Use the communication technique of reflecting.

Correct Answer is B

Explanation

A) Incorrect. Allowing the client to continue at his own pace may not effectively address the issue of circumstantiality and could lead to prolonged, tangential conversations.

B) Correct. Redirecting the conversation can help the client refocus and stay on topic, which can be particularly helpful for someone experiencing circumstantiality.

C) Incorrect. Stopping the client and telling him how his conversation sounds to others may be perceived as confrontational and could potentially be distressing for the client.

D) Incorrect. Reflecting is a useful communication technique, but it may not be the most effective intervention for addressing circumstantiality in this scenario.

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A client is admitted to the hospital for alcohol intoxication. The family reports that he is a heavy drinker and has been admitted several times for alcohol detoxification. When can the nurse expect to observe the first symptoms of withdrawal?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has become increasingly agitated. He is pacing in the hallway and shouting at other clients. What is the priority action of the nurse?

Correct Answer is D

Explanation

The nurse receives report on a male client diagnosed with schizoaffective disorder and is informed that the client's verbal communication includes "circumstantiality." What intervention is most therapeutic when caring for this client?

Correct Answer is B

Explanation

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