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 B
Explanation
A. "Are you feeling worse since taking the medication?" This is an important safety question to ask, as it helps to assess whether the client’s condition has worsened since starting the medication. However, it is not the first priority when evaluating the efficacy of a newly prescribed antidepressant.
B. "How long have you been taking the medication?" This is the most important question to ask first because the effectiveness of imipramine, a tricyclic antidepressant, can take several weeks to become apparent. If the client has not been taking the medication for an adequate period, the drug may simply not have had enough time to work yet.
C. "What time of day are you taking the medication?" While the timing of the medication can affect side effects, it is less critical than knowing how long the client has been on the medication when assessing its effectiveness.
D. "What dosage of medication are you taking?" This is an important follow-up question but not the first priority. The duration of treatment is more critical to assess before considering dosage adjustments.
Correct Answer is C
Explanation
A. Comprehend spoken words: This is part of global aphasia, but it does not fully encompass the deficits associated with this condition. Global aphasia involves more extensive language impairment.
B. Form words that are understandable: This is part of global aphasia, but it alone does not fully capture the severity of the language deficit, as it also includes comprehension issues.
C. Form words that are understandable or comprehend spoken words: Global aphasia is the most severe form of aphasia, characterized by profound impairment in both the ability to produce understandable speech and comprehend spoken language. This choice accurately reflects the full scope of the language deficits in global aphasia.
D. Speak at all: Clients with global aphasia may still attempt to speak, but their speech is typically not understandable and is often meaningless. Therefore, saying they cannot "speak at all" is not entirely accurate.
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