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 C

Explanation

A. This response does not directly address the client's concern and may be perceived as dismissive.
B. This response does not provide a clear explanation for the locked door and may not effectively address the client's agitation.
C. This response provides a clear and honest explanation for the locked door, ensuring the client's safety, which is the priority.
D. This response acknowledges the situation but does not provide a clear explanation for the locked door.

A. Traumatic brain injury B. Chronic pain C. Sexual Dysfunction D. Depression E. Effective coping strategies F. Risk for suicide

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

Explanation

A) Correct. Given the nature of the accident, there is a high risk for traumatic brain injury. This should be a priority for screening and assessment.

B) Incorrect. While chronic pain may be a concern, it is not directly related to the recent accident and is not a priority for screening at this time.

C) Incorrect. Sexual dysfunction is not directly related to the recent accident and is not a priority for screening at this time.

D) Correct. The client's request for early discharge and the recent traumatic event raise concerns about potential depression. Screening for depression is important.

E) Incorrect. Effective coping strategies are important, but they are not a priority for screening in this scenario.

F) Correct. Given the recent accident and the client's expressed desire for early discharge, there may be an increased risk for suicide. This should be a priority for screening and assessment.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A client was admitted to the intensive care unit after a single car accident in which he struck a cement wall. He is now responsive and wants to be discharged within the next couple of days. Which of the following are priorities for screening? (Select all that apply)

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

Explanation

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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?

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

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