A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following interventions is the nurse's priority?

Support the client's coping skills.

Prevent the client from harming herself or others.

Identify the use of defense mechanisms.

Develop goals for treatment.

Answer and Explanation

The Correct Answer is B

A. Support the client’s coping skills. While important, safety takes precedence in the acute phase.

B. Prevent the client from harming herself or others. Alcohol withdrawal can lead to agitation, hallucinations, or seizures, making safety the nurse's priority.

C. Identify the use of defense mechanisms. This is part of long-term treatment, not immediate care.

D. Develop goals for treatment. Goal-setting is essential for long-term management but is not the priority during acute withdrawal.

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Correct Answer is A

Explanation

A. Hallucinations. Hallucinations are a sign of severe alcohol withdrawal, such as delirium tremens (DTs), which can be life-threatening and requires immediate medical attention.

B. Tremors. Tremors are a common withdrawal symptom but are not as critical as hallucinations.

C. Anorexia. Loss of appetite is a minor symptom and not life-threatening.

D. Insomnia. Although common in withdrawal, insomnia is not an urgent priority compared to hallucinations.

Correct Answer is ["0.5"]

Explanation

Formula: Dose prescribed ÷ Dose available × 1 tablet = Number of tablets

Calculation:

7.5mg÷15mg×1=0.5tablet.

The nurse should administer 0.5 tablet to provide the prescribed dose.

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A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following interventions is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is receiving treatment for alcohol detoxification. Which of the following findings is the nurse's priority?

Correct Answer is A

Explanation

A nurse is preparing to administer buspirone 7.5 mg PO. The amount available is buspirone 15 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.5"]

Explanation

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