The nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal delirium. The nurse would monitor for which symptoms?

Stupor, agitation, muscular rigidity

Hypertension, disorientation, hallucinations

Hypotension, bradycardia, agitation

Hypotension, ataxia, vomiting

Answer and Explanation

The Correct Answer is B

A.   These symptoms are not characteristic of alcohol withdrawal delirium.
B.   Alcohol withdrawal delirium is characterized by symptoms such as hypertension, disorientation, and hallucinations.
C.   Hypotension and bradycardia are not typically associated with alcohol withdrawal delirium. They may be seen in other types of alcohol withdrawal.
D.   These symptoms are not specific to alcohol withdrawal delirium. They may be present in other forms of alcohol withdrawal.

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Correct Answer is ["A","C","D"]

Explanation

A. Establish a healthy sleeping, eating, and exercise routine This is an important relapse prevention strategy as it promotes physical and emotional wellbeing. A structured routine helps maintain stability and reduces the risk of returning to substance use.

B. Prevent overscheduling and becoming fatigued and exhausted. Reach out to reconnect with old buddies to test strength in resistance This statement includes potential triggers for relapse (reconnecting with old buddies) and does not align with effective relapse prevention strategies.

C. Have a friend or counselor number to call when having doubts This is a valuable strategy as it provides the client with a support system and someone to reach out to during moments of doubt or vulnerability.

D. Attend outpatient and community support groups for addiction Support groups provide a sense of community, understanding, and accountability for individuals in recovery. They offer a safe space to share experiences and coping strategies, making them an essential part of relapse prevention.

A. Determine what precipitates these hallucinations. B. Distract the client when hallucinating. C. Determine the content of the hallucinations. D. Let the client know you do not hear the voices.

Correct Answer is C

Explanation

A. While understanding precipitating factors is important, it is not the immediate priority when the client is actively experiencing hallucinations.
B. Distracting the client may not address the underlying cause of the hallucinations, which should be the priority.
C. Determining the content of the hallucinations can provide important information for assessment and intervention.
D. Dismissing the client's experience can be alienating and unhelpful.

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The nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal delirium. The nurse would monitor for which symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is building a discharge teaching plan with a client diagnosed with substance use disorder. Which of the following relapse prevention strategies will be included in the teaching? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

What intervention is a priority when the client is experiencing auditory hallucinations?

Correct Answer is C

Explanation

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