A nurse is teaching a newly-admitted client about the possible physical effects of alcohol withdrawal. Which of the following manifestation should the nurse include in the reaching? (Select all that apply.)
Nystagmus
Muscles
Polyphagia
Tremors
Seizures
Correct Answer : A,D,E
A. Nystagmus: Nystagmus is a rapid, involuntary movement of the eyes, which can occur during alcohol withdrawal due to disruption of the central nervous system. This can be a symptom of alcohol withdrawal.
D. Tremors: Tremors, also known as "the shakes," are a common physical manifestation of alcohol withdrawal. These tremors usually affect the hands and can be an early sign of withdrawal.
E. Seizures: Seizures can occur during alcohol withdrawal, particularly in severe cases. This is a serious complication that requires medical attention.
Incorrect answers:
B. Muscles: The term "muscles" is not specific enough to indicate a particular manifestation of alcohol withdrawal. Tremors or muscle spasms could be more specific symptoms to include.
C. Polyphagia: Polyphagia refers to excessive hunger and increased food intake. While alcohol withdrawal can lead to changes in appetite, it typically does not result in polyphagia. Instead, loss of appetite or nausea may be more common.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "It doesn't really matter what time you take your medications as long as you don't skip any doses."
While it's important not to skip doses, taking medications at specific intervals is often necessary for maintaining therapeutic blood levels and optimal treatment outcomes. Disregarding specific timing can affect the effectiveness of the medications.
B. "We'll have to talk to your provider about switching to an alternative schedule."
This response may not consider the client's preferences and might not be necessary if the client's current schedule can be adjusted to suit their routine. Collaboration between the nurse and the client is essential.
C. "You really shouldn't change the schedule we established here in the facility."
While continuity in medication schedules is important, if the established schedule doesn't align with the client's daily life, there should be flexibility to adjust it in a way that still maintains the effectiveness of the medications.
D. "Let's work together to devise a time schedule that is convenient for you on a daily basis."
Explanation: It's important to consider the client's lifestyle and routines when developing a medication schedule to ensure optimal adherence. Collaboratively working with the client to create a schedule that fits their daily activities increases the likelihood that they will consistently take their medications as prescribed.
Correct Answer is D
Explanation
A. "Let's try to find ways to incorporate your partner's favorite food into her diet plan."
While it's important to consider the client's preferences, dietary restrictions are often in place for specific health reasons. Trying to incorporate forbidden foods into the diet plan might compromise the client's health and recovery.
B. "Why would you want to put your partner's health at further risk?"
This response is confrontational and may not foster a productive conversation with the partner. It's important to address the situation professionally and collaboratively.
C. "Everyone likes food from home, but it can delay your partner's recovery."
While this response acknowledges the partner's feelings, it's essential to communicate more directly about involving the healthcare provider in decisions about the client's diet.
"D. You will need to discuss your concerns about your partner's diet with the provider."
Explanation: In matters involving a client's dietary plan and health, it's important to involve the healthcare provider to make informed decisions. The nurse should guide the partner to communicate their concerns with the provider who has the authority to evaluate the situation, consider the dietary restrictions, and make a decision that aligns with the client's health and recovery.
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