A community health nurse is teaching a group of parents about manifestations of alcohol withdrawal. Which of the following manifestations should the nurse include in the teaching?
Hyperglycemia
Hypotension
Somnolence
Seizures
The Correct Answer is D
Alcohol withdrawal can cause a range of symptoms, including anxiety, tremors, hallucinations, and seizures. Seizures are a potentially serious complication of alcohol withdrawal that can occur within the first 24-48 hours after a person stops drinking. Hyperglycemia, or high blood sugar, is not typically associated with alcohol withdrawal. Hypotension, or low blood pressure, can occur in severe cases of alcohol withdrawal, but it is not a primary manifestation. Somnolence, or drowsiness, may be present in some cases of alcohol withdrawal, but it is not a primary manifestation and is not typically a cause for concern.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
When developing a disaster plan, the first action the nurse should take is to determine potential environmental health hazards that could affect the facility and its residents. This involves assessing the facility's location and surrounding area for potential hazards, such as floods, fires, earthquakes, or chemical spills.
Once potential hazards have been identified, the nurse can then develop appropriate response strategies specific to the needs of the residents and the facility.
Identifying materials needed for staff and resident education, developing response strategies specific to older adults, and verifying dates of the annual community-wide mass casualty drill are all important steps in disaster planning, but they should come after potential environmental health hazards have been identified.
Correct Answer is B
Explanation
This action is appropriate because it allows the client to document their end-of-life wishes and ensure that they are honored.
Option A is incorrect because requesting the facility chaplain to visit the client is not directly related to the client's current health care needs.
Option C is incorrect because completing an against medical advice form is not appropriate in this situation, as the client has the right to refuse medical treatments, including enteral tube feedings.
Option D is incorrect because asking the client to sign an informed consent form is not necessary in this situation, as the client is not receiving a specific medical treatment that requires informed consent.

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