A male client with a long history of alcohol dependency arrives in the Emergency Department describing the feeling of bugs crawling on his body. His blood pressure is 170/102 mm Hg, pulse rate is 110 beats/minute, and blood alcohol level (BAL) is 0 mg/dL. Which prescription should the nurse administer?

Haloperidol.

Lorazepam.

Diphenyhydramine.

Thiamine.

Answer and Explanation

The Correct Answer is B

A) Haloperidol is an antipsychotic that may be used for agitation or hallucinations, but it is not the first-line treatment for alcohol withdrawal symptoms. Administering haloperidol without addressing withdrawal may not be effective and could lead to further complications.

B) Lorazepam is a benzodiazepine and is the preferred medication for managing alcohol withdrawal symptoms, including agitation, anxiety, and hallucinations. It helps reduce the risk of severe withdrawal symptoms and seizures while providing sedative effects. Given the client’s symptoms of feeling bugs crawling on his body, which may indicate tactile hallucinations due to withdrawal, lorazepam would be the most appropriate choice.

C) Diphenhydramine is an antihistamine that can be used for allergic reactions or as a sedative, but it is not effective for managing alcohol withdrawal symptoms.

D) Thiamine is important to prevent Wernicke's encephalopathy in clients with a history of alcohol dependency, especially if there are signs of confusion or neurological deficits. However, it does not address the immediate symptoms of withdrawal the client is experiencing.

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Correct Answer is D

Explanation

A) Telling the client that irrational thinking is a symptom of schizophrenia may come across as dismissive and could further alienate the client. While it's important to acknowledge the symptoms, this approach does not provide a practical solution to the immediate concern of the client refusing to eat.

B) Obtaining an order for tube feeding should be a last resort. While nutritional intake is essential, invasive interventions should only be considered if the client’s refusal to eat poses an immediate health risk and after other less invasive strategies have been attempted.

C) Assuring the client that all food served in the hospital is safe to eat might be well-intentioned, but it is unlikely to alleviate the client's fears. The client is experiencing

delusions, and simply stating that the food is safe may not be convincing.

D) Providing the client with food in unopened containers is the most appropriate intervention. This respects the client's concerns about food safety while offering a solution that allows them to eat without directly confronting their delusions. Unopened containers can provide a sense of security and control for the client, potentially encouraging them to consume food without feeling threatened.

A. Tell me what you think should happen. B. Call for transportation to the hospital. C. How serious was the collision D. What do you think you should do?

Correct Answer is B

Explanation

A) Asking the employee what she thinks should happen may put additional pressure on her during an extremely distressing moment. In a crisis, individuals often struggle to think clearly, and this response may not provide the immediate support she needs.

B) Calling for transportation to the hospital is the best response. This action demonstrates immediate support and concern for her well-being and allows her to prioritize reaching her child. It provides practical assistance in a moment of crisis and helps ensure she can get to her child as quickly as possible.

C) Asking how serious the collision was may seem relevant, but it could increase anxiety for the employee. She may not have this information, and discussing the severity of the situation could lead to further distress when she is already overwhelmed.

D) Asking what she thinks she should do could also add pressure to make a decision at a time when she is likely feeling helpless and confused. In a crisis, offering direct support and assistance is typically more effective than seeking input from the individual.

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The occupational health nurse is working with a female employee who was just notified that her child was involved in a motor vehicle collision and taken to the hospital. The employee states, 1 can't believe this. What should I do? Which response is best for the nurse to provide in this crisis?

Correct Answer is B

Explanation

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