A community health nurse is teaching a group of parents about manifestations of alcohol withdrawal. Which of the following manifestations should the nurse include in the teaching?
Hyperglycemia
Hypotension
Somnolence
Seizures
The Correct Answer is D
Alcohol withdrawal can cause a range of symptoms, including anxiety, tremors, hallucinations, and seizures. Seizures are a potentially serious complication of alcohol withdrawal that can occur within the first 24-48 hours after a person stops drinking. Hyperglycemia, or high blood sugar, is not typically associated with alcohol withdrawal. Hypotension, or low blood pressure, can occur in severe cases of alcohol withdrawal, but it is not a primary manifestation. Somnolence, or drowsiness, may be present in some cases of alcohol withdrawal, but it is not a primary manifestation and is not typically a cause for concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The first action the nurse should take is to determine the client's understanding of her living situation. This will help the nurse to assess the client's level of knowledge and understanding about her situation and tailor interventions accordingly.
It will also help the nurse to establish a therapeutic relationship with the client and create a safe and trusting environment.
Once the nurse has assessed the client's understanding, she can then proceed to assist the client in developing goals for obtaining shelter, discussing the risks of being homeless, and developing client teaching using a variety of strategies as needed.
Correct Answer is B
Explanation
During the initial home visit, the nurse should establish rapport and build a trusting relationship with the client and his family.
Engaging the family in informal conversation allows the nurse to learn about the family's dynamics, routines, and preferences, as well as the client's interests and abilities. This information can be helpful in developing a care plan that is tailored to the client's and family's needs and goals.
While educating the family about dementia and providing information about resources such as respite care and support groups is important, these actions should come after the nurse has established a rapport with the family and gained their trust.
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