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 C
Explanation
Choice A reason: Progressive muscle relaxation is a technique that can help reduce anxiety and would be included in teaching.
Choice B reason: Deep breathing is a common and effective method for managing anxiety and would be included in teaching.
Choice C reason: This is the correct choice. Discussing obsessions can be part of cognitive-behavioral therapy and can help in reducing anxiety by confronting and understanding the thoughts.
Choice D reason: Guided imagery is a relaxation technique that can help distract from obsessive thoughts and reduce anxiety.
Correct Answer is C
Explanation
Choice A reason: Trying to fix the problem may not be helpful as OCD is a chronic condition that requires professional treatment.
Choice B reason: It is unrealistic to expect that a client with OCD will not have any compulsions at all.
Choice C reason: Patience is key in supporting a family member with OCD as they work through their treatment.
Choice D reason: Reminding the client to not perform rituals can increase anxiety and is not a recommended approach.
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