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 ["10"]

Explanation

Ordered: 500 mg

Available: 250 mg/5 mL

Formula:

VolumetoAdminister(mL) =(Dose ordered /Dose available)× Volume available

Volume= 500 mg250 mg × 5ml

=10 ml

Administer 10 mL of valproic acid.10

A. Having a learning disability B. Inadequate sleep at night C. Substance uses within immediate family D. Feeling unsafe at home E. Fighting with peers at school

Correct Answer is ["A","C","D","E"]

Explanation

A. Having a learning disability: Learning disabilities can increase vulnerability due to academic struggles and lower self-esteem.

B. Inadequate sleep at night: While poor sleep can affect mood and behavior, it is not a direct high-risk factor for substance abuse.

C. Substance use within immediate family: Exposure to substance use in the family normalizes such behavior, increasing the risk.

D. Feeling unsafe at home: An unstable or unsafe home environment is a significant risk factor for substance abuse.

E. Fighting with peers at school: Peer conflict can lead to isolation and susceptibility to negative influences like substance use.

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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 preparing to administer valproic acid 500 mg PO. Available is valproic acid oral solution 250 mg/5 ml. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["10"]

Explanation

A nurse is collecting data from a 12-year-old child. Which of the following assessment findings would indicate a high risk for developing substance abuse? (Select All that Apply.)

Correct Answer is ["A","C","D","E"]

Explanation

Which of the following is a correctly prioritized hypothesis about manifestations of withdrawal symptoms?

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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?

A nurse is collecting data from a client who is experiencing alcohol withdrawal delirium. Which of the following findings should the nurse expect? (Select all that apply.)