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 ["10"]
Explanation
Ordered: 500 mg
Available: 250 mg/5 mL
Formula:
VolumetoAdminister(mL) =(Dose ordered /Dose available)× Volume available
Volume= 500 mg250 mg × 5ml
=10 ml
Administer 10 mL of valproic acid.10
Correct Answer is A
Explanation
A. Seizure activity: Seizures are a known complication of alcohol withdrawal due to central nervous system hyperactivity.
B. Pathological change on CT scan: CT scan findings are not directly related to alcohol withdrawal symptoms.
C. Bradycardia: Alcohol withdrawal is typically associated with tachycardia, not bradycardia.
D. Stuporous level of consciousness: Clients experiencing alcohol withdrawal are often agitated or anxious rather than stuporous.
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