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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Social determinants of health are the conditions in which people are born, grow, live, work, and age, and the wider set of forces and systems shaping the conditions of daily life. These determinants include factors such as socioeconomic status, education, employment, housing, and access to healthcare.
A. Health equity refers to the absence of disparities in health and healthcare among different populations. However, this option does not specifically address the client's situation of unemployment and homelessness.
C. Treatment protocols are important for guiding clinical practice but they do not directly address the social determinants of health impacting the client's situation.
D. Unconscious bias refers to implicit attitudes or stereotypes that influence judgments and behaviors in a subconscious manner but do not directly address the social determinants of health impacting the client's situation of unemployment and homelessness.
Correct Answer is C
Explanation
C Encouraging the client to identify the emotions they feel immediately before performing the self-harm behavior is an important intervention. It can help the client develop insight into triggers and underlying emotions that contribute to the behavior. Identifying and addressing these emotions can be a crucial step in developing healthier coping mechanisms.
A. It is crucial to convey the potential risks associated with self-harm and emphasize the importance of seeking help and safer coping strategies.
B. Non-suicidal self-harm is a significant concern that requires attention and appropriate intervention. While NSSH does not necessarily indicate immediate suicidal intent, it can indicate significant distress
D. NSSH does not necessarily indicate suicidal intent, and placing the client in constant observation without clinical justification may be intrusive and undermine therapeutic rapport.
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