Following involvement in a motor vehicle collision, a middle-aged adult client is admitted to the hospital with multiple facial fractures. The client's blood alcohol level is high on admission. Which PRN prescription should be administered if the client begins to exhibit signs and symptoms of delirium tremens (DTs)?
Prochlorperazine 5 mg IM.
Hydromorphone 2 mg IM.
Lorazepam 2 mg IM.
Chlorpromazine 50 mg IM.
The Correct Answer is C
A. Prochlorperazine is an antiemetic and antipsychotic medication used to treat nausea, vomiting, and psychotic disorders, but it is not indicated for the treatment of delirium tremens. B. Hydromorphone is an opioid analgesic and would not be appropriate for the treatment of delirium tremens.
C. Lorazepam is a benzodiazepine medication commonly used to manage alcohol withdrawal symptoms, including delirium tremens.
D. Chlorpromazine is an antipsychotic medication primarily used to treat psychotic disorders and would not be the first-line choice for managing delirium tremens.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
In the scenario presented, the nurse should prioritize addressing the client's sleep disturbances, heightened startle response, and feelings of sadness and numbness. These symptoms may indicate acute stress reaction or post-traumatic stress disorder, conditions that can occur after experiencing a traumatic event such as a car crash. Immediate interventions could include providing a safe and calm environment, offering support and reassurance, assessing for risk of harm to self or others, and referring to mental health professionals for further evaluation and treatment. It's also important to acknowledge the client's proactive steps, such as joining a grief support group and exercising, which are positive coping strategies. The nurse should collaborate with the client to build on these healthy habits while addressing the more distressing symptoms with appropriate care and referrals.
Correct Answer is A
Explanation
A. This comment acknowledges the client's behavior without making assumptions or judgments about the content of the hallucinations. It validates the client's experience and opens the door for further discussion if the client wishes to share more about what they are experiencing.
B. This comment does not directly address the client's current experience and may not be as helpful in validating the client's reality.
C. This comment focuses on redirecting the client's attention rather than acknowledging their experience, which may not be as therapeutic in this context.
D. This comment may invalidate the client's experience by directly contradicting their perception of reality. It is important to avoid dismissing or denying the client's experiences without further assessment and understanding.
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