Safety is the nursing priority for a client who is at risk for alcohol withdrawal. A care plan for the client who is in withdrawal must include which nursing interventions?
Seizure precautions and vital signs.
Observation for symptoms, vital signs, seizure and fall precautions, medications as ordered.
Suicide precautions because suicide atempts are frequent during withdrawal.
Vital signs and medications as prescribed.
The Correct Answer is B
Choice A reason: Seizure precautions and monitoring vital signs are important but not comprehensive enough for a complete care plan.
Choice B reason: This is the correct choice. It encompasses a broad range of interventions that are critical for a client undergoing alcohol withdrawal, including monitoring for various symptoms, ensuring safety, and administering medications.
Choice C reason: While suicide precautions are important, they are not the only intervention needed for a client in alcohol withdrawal.
Choice D reason: Monitoring vital signs and administering medications are important but do not cover all necessary precautions such as seizure and fall precautions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This choice is incorrect. While anxiety can be a normal response to stress, the context implies that the client is experiencing more than a typical reaction.
Choice B reason: This choice is incorrect. Anxiety is not necessarily an abnormal response; it can occur in normal situations but becomes problematic when excessive.
Choice C reason: This choice is incorrect. While anxiety does have physiological components, the question seems to be asking about the experiential nature of anxiety.
Choice D reason: This is the correct choice. Anxiety is indeed a sense of psychological distress that can be triggered by stress but is characterized by excessive worry, fear, or apprehension.
Correct Answer is B
Explanation
Choice A reason: This choice is incorrect because stimulant medications used to treat ADHD are known to potentially cause insomnia rather than increased sleep duration.
Choice B reason: This is the correct choice. Common side effects of stimulant medications for ADHD include insomnia, loss of appetite, and weight loss. These side effects are well-documented and are important for parents to be aware of.
Choice C reason: This choice is incorrect. While the frequency of medication administration is important, the statement is too vague and does not reflect the common dosing schedule for ADHD stimulant medications, which can vary based on the specific medication and the individual's needs.
Choice D reason: This choice is incorrect. Routine blood level monitoring is not a standard requirement for ADHD stimulant medication therapy. Monitoring typically focuses on growth, blood pressure, heart rate, and the presence of any side effects.
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