A nurse is planning care for a client who is undergoing alcohol withdrawal and is receiving diazepam. Which of the following interventions should the nurse include in the plan?

Administer the medication subcutaneously.

Initiate seizure precautions.

Administer the medication with an antacid.

Initiate contact precautions.

Answer and Explanation

The Correct Answer is B

A. Administer the medication subcutaneously – Diazepam should be given orally or intravenously in severe cases, not subcutaneously.

B. Initiate seizure precautions – This is the correct answer. Alcohol withdrawal can lead to seizures due to central nervous system hyperactivity. Diazepam, a benzodiazepine, is used to prevent seizures and manage withdrawal symptoms.

C. Administer the medication with an antacid – There is no need to administer diazepam with an antacid; doing so can interfere with absorption.

D. Initiate contact precautions – Alcohol withdrawal is not an infectious condition, so contact precautions are unnecessary.

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Correct Answer is D

Explanation

A. Fried chicken – High-fat foods like fried chicken relax the lower esophageal sphincter (LES), worsening GERD symptoms.

B. Tomato soup – Acidic foods like tomatoes can irritate the esophagus and should be avoided.

C. Hot cocoa – Chocolate and caffeine-containing drinks relax the LES and increase acid production, worsening GERD.

D. Bran cereal – This is a good choice because high-fiber foods promote digestion and help reduce acid reflux.

A. Suction the client's airway. B. Look for a leak in the tube's cuff C. Tighten the tubing connections. D. Request insertion of a tracheostomy tube

Correct Answer is A

Explanation

A. Suction the client's airway – This is the correct answer. A high-pressure alarm on a ventilator usually indicates an obstruction, such as mucus plugging or secretions in the airway. Suctioning helps clear the obstruction.

B. Look for a leak in the tube's cuff – A leak would trigger a low-pressure alarm, not a high-pressure alarm.

C. Tighten the tubing connections – Loose connections generally cause low-pressure alarms rather than high-pressure alarms.

D. Request insertion of a tracheostomy tube – This may be necessary for long-term ventilation, but it is not the immediate intervention for a high-pressure alarm.

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A nurse is planning care for a client who is undergoing alcohol withdrawal and is receiving diazepam. Which of the following interventions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has GERD about appropriate dietary choices. Which of the following food choices by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

While a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube, the high-pressure alarm on the ventilator sounds. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

Exhibits for additional information about the client. There are three tabs that contain separate categories of data.)

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