A nurse is collecting data from a client who has alcohol use disorder and is experiencing withdrawal. Which of the following manifestations should the nurse expect?
Hypertension
Constipation
Polyuria
Bradycardia
The Correct Answer is A
Alcohol withdrawal can often lead to an increase in blood pressure. The autonomic nervous system becomes hyperactive during withdrawal, resulting in increased sympathetic activity, which can elevate blood pressure.
Constipation is not typically associated with alcohol withdrawal. However, chronic alcohol use can affect the gastrointestinal system and lead to digestive issues, including diarrhea or gastrointestinal bleeding.
Polyuria, which refers to excessive urination, is not a typical manifestation of alcohol withdrawal. However, alcohol use can affect fluid balance and lead to changes in urination patterns.
Bradycardia, or a slow heart rate, is not a common manifestation of alcohol withdrawal. Instead, tachycardia (an increased heart rate) is more commonly observed during withdrawal due to the hyperactivity of the autonomic nervous system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Correct answer: D
A.Sharing a client's substance use information with their employer without their consent may violate confidentiality and privacy laws.
B.Sharing information about a client's suicide with another nurse may be appropriate for staff who need to know for safety reasons but should be done carefully and only with those who have a legitimate need for the information.
C.Sharing a client's medical information with their partner in this scenario may be appropriate under certain circumstances. However, it's essential to consider the client's safety and well-being first. If the client has reported intimate partner abuse, the nurse must assess the risk of harm to the client if their partner is informed. Depending on the situation, it may be necessary to involve other healthcare professionals, such as social workers or law enforcement, to ensure the client's safety. Before sharing any information with the partner, the nurse should follow institutional policies and legal requirements, which often involve obtaining the client's consent or assessing the potential harm of disclosure.
D.Sharing a client's medical information with a social worker who is directly involved in the client's care is generally appropriate and often necessary for effective interdisciplinary collaboration. In this scenario, the social worker is assigned to the client and is likely involved in coordinating the client's care and support services. Sharing relevant medical information with the social worker can facilitate continuity of care and help ensure that the client's needs are met appropriately. However, it's essential for the nurse to adhere to confidentiality requirements and only share information on a need-to-know basis, ensuring that the information is used for the purpose of providing care and support to the client.
Correct Answer is B
Explanation
The guardian's observation about the child being withdrawn since the switch of daycare providers is particularly important. It suggests a change in behavior that could potentially indicate emotional or social difficulties.
The nurse should explore this further to gather more information and assess the child's well-being in the new daycare setting. It is essential to ensure the child's emotional health and address any potential issues that may be affecting their well-being and development.
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