A nurse is caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse expect to observe that indicate the client is experiencing alcohol withdrawal?
Decreased blood pressure and nausea
Constipation and pupil constriction
Bone and muscle aches
Increased heart rate and vomiting
The Correct Answer is D
D. Alcohol withdrawal is characterized by a range of symptoms that can vary in severity. Some common symptoms include increased heart rate (tachycardia), sweating, tremors, anxiety, nausea, vomiting, and agitation.
A. Alcohol withdrawal is more commonly associated with increased blood pressure rather than decreased blood pressure. Nausea can be a symptom of alcohol withdrawal, particularly in the early stages, but it is not necessarily a defining characteristic.
B. Constipation and pupil constriction are not typically associated with alcohol withdrawal. These symptoms are more commonly seen with opioid withdrawal.
C Bone and muscle aches are common symptoms of alcohol withdrawal. They can occur as a result of the body's reaction to the sudden cessation of alcohol intake and the associated changes in neurotransmitter levels.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Childhood experiences of physical abuse, such as being hit with fists by a parent, can significantly contribute to the development of aggressive behaviors later in life. Research has shown that individuals who have experienced physical abuse during childhood are at increased risk of displaying aggression towards others, including their partners and children, as adults.
A. This statement is less directly related to the client's own experiences of aggression and may not necessarily contribute directly to their current behavior.
C. and D do not directly address experiences of violence or abuse and are less likely to contribute directly to the client's aggressive behavior towards their partner and child.
Correct Answer is D
Explanation
D. Hallucinations, particularly visual hallucinations, are a common manifestation of alcohol withdrawal, typically occurring within 12 to 24 hours after the last drink. These hallucinations can be vivid and may involve seeing objects, people, or animals that are not actually present.

A. Hypertension (high blood pressure) is more commonly associated with alcohol withdrawal, especially during the acute phase.
B. Respiratory depression, characterized by slowed or shallow breathing, is not a typical feature of alcohol withdrawal.
C. Muscle aches are not typically associated with alcohol withdrawal. Instead, symptoms such as tremors, agitation, and insomnia are more common during alcohol withdrawal.
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