A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following findings is the nurse's priority?
Tachycardia
Cramping
Seizures
Elevated temperature
The Correct Answer is C
Explanation: The nurse should prioritize seizures as the most serious and life-threatening finding in a client who is experiencing acute alcohol withdrawal. Seizures can occur within 48 hours of cessation of alcohol intake and can lead to status epilepticus, brain damage, or death. Tachycardia, cramping, and elevated temperature are also common signs of alcohol withdrawal, but they are not as urgent as seizures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Answer: D. I will make sure that I can fit one finger between the mattress and the side of my newborn's crib.
Rationale: The parent should make sure that the mattress fits snugly in the crib and that there are no gaps between the mattress and the side of the crib that could trap the newborn's head or body. This reduces the risk of suffocation or entrapment. The other statements by the parent are incorrect and unsafe practices that could harm the newborn.
Correct Answer is C
Explanation
The correct answer is C. Memory loss that disrupts activities of daily living (ADLs) is a common manifestation of dementia, which is a progressive decline in cognitive function. Pressured speech, catatonia, and illusions are more likely to be seen in clients who have psychotic disorders, such as schizophrenia or bipolar disorder.
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