A 52-year-old male with a long history of alcohol use disorder is admitted to the hospital and begins showing signs of Delirium Tremens, including agitation, tremors, tachycardia, and hallucinations. Which medication should the nurse anticipate administering to manage these symptoms?
Haloperidol
Lorazepam
Naltrexone
Disulfiram
The Correct Answer is B
Choice A reason: Haloperidol may be used for severe agitation or hallucinations but is not the first-line treatment for delirium tremens because it does not address the underlying withdrawal process.
Choice B reason: Lorazepam, a benzodiazepine, is the drug of choice for managing alcohol withdrawal and delirium tremens. It reduces agitation, prevents seizures, and manages autonomic instability.
Choice C reason: Naltrexone is used to reduce alcohol cravings and prevent relapse but is not appropriate for acute withdrawal or delirium tremens.
Choice D reason: Disulfiram is an aversive therapy medication used to discourage alcohol consumption by causing unpleasant effects if alcohol is ingested. It is contraindicated during withdrawal due to safety risks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Separation anxiety disorder involves excessive distress when separated from caregivers, but the key feature here is lack of speech in specific settings.
Choice B reason: Agoraphobia is the fear of being in situations where escape may be difficult, not selective inability to speak.
Choice C reason: Generalized anxiety disorder is characterized by excessive worry in many areas of life, not persistent mutism in social contexts.
Choice D reason: Selective mutism is an anxiety disorder where a child consistently fails to speak in certain settings, like school, despite being able to speak in others, making this the correct diagnosis.
Correct Answer is A
Explanation
Choice A reason: This presentation is consistent with neuroleptic malignant syndrome (NMS), a rare but life-threatening reaction to antipsychotics characterized by severe muscle rigidity, hyperthermia, altered mental status, and autonomic dysfunction. Immediate discontinuation of the drug and emergency treatment are required.
Choice B reason: Restlessness and inability to sit still are signs of akathisia, an extrapyramidal side effect of antipsychotics. While distressing and requiring management, it is not life-threatening compared to NMS.
Choice C reason: A flat affect and reduced speech are negative symptoms of schizophrenia and may persist despite treatment. These are concerning for quality of life but do not require urgent medical intervention.
Choice D reason: Mild weight gain is a known side effect of many antipsychotics. It should be monitored and managed with lifestyle modifications but does not represent an immediate threat.
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