A nurse is caring for a client who was hospitalized with a high blood alcohol content level. The provider fears the client may go into withdrawal and require medical supervision. The client's manifestations included anxiety, tremors, BP 166/100 mm Hg, and tachypnea about 1 hr ago. Now the client begins yelling out that they are seeing spiders crawling all over the walls. They believe they are at home and begin calling for their mother. The nurse should recognize that the client is experiencing which of the following stages of alcohol withdrawal?
Stage 1 (mild)
Stage 3 (severe)
The client's manifestations indicate a psychotic disorder instead of alcohol withdrawal.
Stage 2 (moderate)
The Correct Answer is B
Stage 3 alcohol withdrawal, also known as delirium tremens (DTs), is characterized by severe manifestations, including hallucinations (such as seeing spiders crawling on the walls), disorientation, agitation, and potentially life-threatening physiological disturbances. The client's
belief that they are at home and calling for their mother indicates significant confusion and disorientation, which are common features of delirium tremens.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Cockroach allergens are common triggers for asthma and allergic reactions in susceptible individuals. Cockroach droppings, saliva, and decomposing body parts contain allergenic proteins that can become airborne and trigger respiratory symptoms such as wheezing, coughing, and shortness of breath in individuals with asthma or allergies.
B. Mold can also trigger an allergic reaction in susceptible individuals but not as significant as cockroach allergens.
C. Hepatitis B is a viral infection that primarily affects the liver and is not directly related to asthma or allergies
D. Radon exposure it is not directly related to asthma or allergies.
Correct Answer is C
Explanation
C. ACEs stands for Adverse Childhood Experiences. It refers to potentially traumatic events that occur during childhood, such as physical, emotional, or sexual abuse, neglect, or household dysfunction. ACES have been linked to negative health and social outcomes later in life.
A. The SE model typically refers to the Supported Employment model, which is an evidence- based approach used to help individuals with mental illness find and maintain competitive employment.
B. SMI stands for Serious Mental Illness. It refers to mental health disorders that significantly impair an individual's ability to function in daily life.
D. MLPS does not correspond to a recognized term or acronym commonly used in healthcare or social services contexts. It is likely not relevant to the scenario described in the question.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
