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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. One parent who is an alcoholic. A family history of substance abuse, particularly a parent with alcoholism, significantly increases the genetic and environmental risk of substance abuse in children.
B. Overprotective parents. Overprotection may contribute to other issues, like anxiety, but it is not strongly associated with substance abuse.
C. Being raised in an urban area. Living in an urban area does not independently indicate higher risk without other contributing factors.
D. Parents who practiced strict discipline. Strict discipline may lead to rebellion in some cases, but it is not a primary risk factor for substance abuse.
Correct Answer is B
Explanation
A. Withdrawal symptoms will only manifest as physical discomfort and will not affect a person's mental state. Withdrawal can cause both physical and psychological symptoms, including anxiety, depression, and hallucinations.
B. Withdrawal symptoms will manifest differently depending on the type of addictive substance. Different substances (e.g., alcohol, opioids, stimulants) have distinct withdrawal symptoms. For example, alcohol withdrawal can cause seizures, while opioid withdrawal causes flu-like symptoms.
C. Withdrawal symptoms will only occur immediately after the cessation of the addictive substance. Symptoms may be delayed depending on the substance's half-life and duration of use.
D. Withdrawal symptoms will always include severe headache as the primary manifestation. Headaches are not universal in withdrawal and are substance-dependent.
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