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

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A Reason:

Confronting the client regarding inappropriate behavior is not appropriate. Individuals with memory loss may exhibit behaviors that result from their cognitive impairment, and confrontation can lead to distress.

Choice B Reason:

Offering several meal options at lunchtime can be overwhelming for clients with memory loss. Simplifying choices and providing clear options are more effective strategies.

Choice C Reason:

Inadequate lighting can contribute to disorientation and falls. Well-lit areas with natural or soft lighting are preferable.

Choice D Reason:

Clients experiencing confusion and memory loss benefit from visual cues and simple, clear communication. Using symbols (such as pictures of a toilet for the restroom or a plate for the dining area) can help them navigate the environment more easily and reduce frustration.

A. "We require informed consent for all routine treatments." B. "We can accept verbal consent unless the surgical procedure is an emergency." C. "A family member must witness your signature on the informed consent form." D. "You can sign the informed consent form after the provider explains the pros and cons of the procedure."

Correct Answer is D

No explanation

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an adult day care facility is contributing to the plan of care for a client whose family reports recent confusion and memory loss. Which of the following strategies should the nurse include in the plan?

Correct Answer is D

Explanation

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Correct Answer is D

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