A nurse is collecting data from a client who is receiving treatment for alcohol detoxification. Which of the following findings is the nurse's priority?

Hallucinations

Tremors

Anorexia

Insomnia

Answer and Explanation

The Correct Answer is A

A. Hallucinations. Hallucinations are a sign of severe alcohol withdrawal, such as delirium tremens (DTs), which can be life-threatening and requires immediate medical attention.

B. Tremors. Tremors are a common withdrawal symptom but are not as critical as hallucinations.

C. Anorexia. Loss of appetite is a minor symptom and not life-threatening.

D. Insomnia. Although common in withdrawal, insomnia is not an urgent priority compared to hallucinations.

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Correct Answer is C

Explanation

A. Increased irritability towards supervisors, outspokenness regarding work issues, increased attendance at staff meetings: These behaviors may reflect workplace dissatisfaction or burnout rather than substance use.

B. Crying, sharing personal details of relationship problems, monopolizing conversations: These are more indicative of emotional distress or poor boundaries, not necessarily substance use.

C. Volunteering for overtime on a continual basis, avoiding having a witness to wasting narcotics, needing to be alone in the medication room when preparing medications: These behaviors suggest potential access and misuse of medications, a key indicator of substance use disorder in healthcare workers.

D. Increased cheerfulness, increased energy, helping other nurses on the shift: While these behaviors might seem unusual, they are not strong indicators of substance use disorder.

A. Bone and muscle aches B. Decreased blood pressure and nausea C. Increased heart rate and vomiting D. Constipation and pupil constriction

Correct Answer is C

Explanation

A. Bone and muscle aches: These are more commonly associated with opioid withdrawal, not alcohol withdrawal.

B. Decreased blood pressure and nausea: Alcohol withdrawal is typically associated with increased blood pressure, not decreased blood pressure.

C. Increased heart rate and vomiting: Tachycardia and gastrointestinal symptoms like vomiting are common signs of alcohol withdrawal.

D. Constipation and pupil constriction: These symptoms are not characteristic of alcohol withdrawal but are associated with opioid use.

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A nurse is collecting data from a client who is receiving treatment for alcohol detoxification. Which of the following findings is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is reviewing a recent client report related to a staff nurse. Which of the following behaviors by a nurse at work might be red flags for a substance use disorder?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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