A 51-year-old male has been admitted to the detoxification unit with acute symptoms of alcohol withdrawal. Nursing assessment is likely to reveal what?
Tremors, headache, flushed face, and hallucinations
Psychomotor hypoactivity, hypotension, and increased appetite
Hypomania, bradycardia, and generalized seizures
Anhidrosis, hypotonicity, and delusions
The Correct Answer is A
A. Tremors, headache, flushed face, and hallucinations: Acute alcohol withdrawal commonly presents with tremors, headache, flushed face, and hallucinations. These symptoms are characteristic of withdrawal syndrome and are important to monitor.
B. Psychomotor hypoactivity, hypotension, and increased appetite: Psychomotor hypoactivity and increased appetite are not typical symptoms of acute alcohol withdrawal. Hypotension may occur, but it is not the most prominent symptom.
C. Hypomania, bradycardia, and generalized seizures: Hypomania and bradycardia are not typical for alcohol withdrawal. Generalized seizures can occur in severe cases of withdrawal (delirium tremens), but hypomania is not a common symptom.
D. Anhidrosis, hypotonicity, and delusions: Anhidrosis (lack of sweating) and hypotonicity (decreased muscle tone) are not typical for alcohol withdrawal. Delusions may occur but are not the primary symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "I can see that you're uncomfortable now, so we can wait until tomorrow." Delaying the medication could worsen the client's condition and does not address the underlying reason for the refusal.
B. "If you refuse these pills, you'll have to get an injection." This response is coercive and could damage trust between the client and the nurse. It does not explore the client's concerns.
C. "What is it about the medicine that you don't like?" This response is therapeutic as it opens a dialogue with the client to understand their concerns, which can help in addressing the reluctance and promoting adherence to the medication.
D. "You know you have to take this medicine for your own good." This response is paternalistic and dismisses the client's autonomy and concerns, which may lead to further resistance.
Correct Answer is C
Explanation
A. "Try to buy and consume as many organic and natural foods as you can." While organic and natural foods are generally healthy, this advice does not directly align with the DASH diet, which focuses more on nutrient balance and reduction of sodium, fats, and sugars.
B. "Try to replace the complex carbohydrates in your diet with protein-rich foods." The DASH diet emphasizes balanced intake of whole grains (complex carbohydrates), fruits, vegetables, and lean proteins, rather than replacing complex carbohydrates.
C. "Try to reduce the overall amount of fat that is in your diet." This recommendation is consistent with the DASH diet, which advises reducing saturated fats and total fat to help manage blood pressure.
D. "If you eat four of five small meals each day, you'll find that you're able to reduce your calorie intake." Eating smaller, more frequent meals may help with calorie control, but this advice is more related to weight management than directly aligning with the DASH diet's focus on nutrient-rich, heart-healthy foods.
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