A community health nurse is providing teaching to a group of clients who have alcohol use disorder. Which of the following findings should the nurse include in the teaching as a manifestation of alcohol withdrawal?
Bradycardia.
Hypothermia.
Increased appetite.
Insomnia.
The Correct Answer is D
Choice A reason: Bradycardia is not a manifestation of alcohol withdrawal, but rather a sign of low heart rate. Alcohol withdrawal typically causes tachycardia, or high heart rate, as the body tries to compensate for the sudden absence of alcohol.
Choice B reason: Hypothermia is not a manifestation of alcohol withdrawal, but rather a sign of low body temperature. Alcohol withdrawal typically causes hyperthermia, or high body temperature, as the body reacts to the withdrawal symptoms.
Choice C reason: Increased appetite is not a manifestation of alcohol withdrawal, but rather a sign of hunger or craving. Alcohol withdrawal typically causes decreased appetite, or anorexia, as the body loses interest in food and suffers from nausea and vomiting.
Choice D reason: Insomnia is a manifestation of alcohol withdrawal, and one of the most common and distressing symptoms. Alcohol withdrawal causes insomnia, or difficulty falling or staying asleep, as the body experiences anxiety, agitation, and nightmares.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Helping the client apply for Medicare is not the best action by the nurse, as Medicare is a federal health insurance program for people who are 65 or older, disabled, or have end-stage renal disease. The client does not meet any of these criteria and may not be eligible for Medicare.
Choice B reason: Exploring options for alternative therapies is not the best action by the nurse, as alternative therapies may not be effective or safe for treating tuberculosis. Tuberculosis is a serious bacterial infection that requires specific antibiotics to cure. Alternative therapies may also interfere with the prescribed medication or cause adverse effects.
Choice C reason: Arranging for medication through local agencies is the best action by the nurse, as it ensures that the client receives the appropriate treatment for tuberculosis. Local agencies may have programs or resources that can help the client access free or low-cost medication. The nurse should also educate the client about the importance of adhering to the medication regimen and completing the course of treatment.
Choice D reason: Sending the client to the nearest facility for further evaluation is not the best action by the nurse, as it may delay the initiation of treatment and increase the risk of transmission of tuberculosis to others. The client already has a diagnosis of tuberculosis and needs to start the treatment as soon as possible. The nurse should also advise the client to wear a mask and avoid close contact with others until the infection is no longer contagious.
Correct Answer is B
Explanation
Choice A reason: Providing the client with a printed recipe is not the first action that the nurse should take when assisting this client. The nurse should first assess the client's current dietary practices and preferences, and then provide culturally appropriate and individualized education and guidance.
Choice B reason: Observing the client during preparation of traditional foods is the first action that the nurse should take when assisting this client. This will help the nurse to understand the client's cultural values and beliefs, as well as the ingredients and methods used in preparing the foods. The nurse can then offer suggestions on how to modify the recipes to fit the client's meal plan.
Choice C reason: Using cookbooks to include traditional foods in meal plans is not the first action that the nurse should take when assisting this client. The nurse should first observe the client's food choices and cooking techniques, and then collaborate with the client to find cookbooks that are suitable for the client's culture and health condition.
Choice D reason: Explaining diabetes exchange list is not the first action that the nurse should take when assisting this client. The nurse should first observe the client's eating habits and patterns, and then educate the client on how to use the exchange list to plan balanced meals that include traditional foods.
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