A new nurse is planning on working with a client who is admitted for alcohol detox. Which of the following statements indicates the nurse understands alcohol withdrawal?
“I would expect alcohol withdrawal symptoms to begin about 6-8 hours after the client’s last drink.”
“It is important that I give my client vitamin C to prevent cirrhosis or other liver damage.”
“The process of withdrawal should last about 10-12 days once the first symptoms appear.”
“This is the third time the client has gone through detox, so I would expect the symptoms to be less severe.”
The Correct Answer is A
A: This statement is accurate. Alcohol withdrawal symptoms typically begin within 6-8 hours after the last drink. Early symptoms can include anxiety, tremors, and nausea, which can escalate if not properly managed.
B: While vitamins, including thiamine (vitamin B1), are important in managing alcohol withdrawal to prevent complications like Wernicke-Korsakoff syndrome, vitamin C is not specifically used to prevent cirrhosis or liver damage. This statement reflects a misunderstanding of the appropriate vitamin supplementation for alcohol withdrawal.
C: The duration of alcohol withdrawal symptoms can vary, but they usually peak within 24-72 hours and can last up to a week. Severe symptoms like delirium tremens can last longer, but the general withdrawal process does not typically last 10-12 days.
D: The severity of withdrawal symptoms can actually increase with repeated detoxifications due to a phenomenon known as kindling. Therefore, it is incorrect to assume that symptoms would be less severe with subsequent detoxifications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A: Using seclusion should be a last resort and only used when the patient poses an immediate threat to themselves or others. It is not a proactive strategy for managing frustration.
B: Ensuring the patient understands harsh consequences for violent episodes may not be effective in preventing aggression and can increase feelings of frustration and resentment.
C: Responding to emotional outbursts with negative reinforcement can escalate the situation and is not a therapeutic approach.
D: Creating a quiet and relaxing room provides a safe space for the patient to calm down and manage their emotions. This proactive strategy helps prevent escalation and supports the patient’s ability to cope with frustration
Correct Answer is ["C","D","E"]
Explanation
A: Exposing the client to frustrating scenarios intentionally is not a therapeutic approach and can exacerbate the client’s frustration and abusive behavior.
B: Seclusion should be used as a last resort and not as a primary strategy for managing verbal abuse. It can increase feelings of isolation and frustration.
C: Setting clear boundaries helps the client understand acceptable behavior and the consequences of verbal abuse. This approach promotes a structured and predictable environment.
D: Early intervention when the patient shows signs of frustration can prevent escalation to verbal abuse. Recognizing triggers and addressing them promptly is crucial in managing antisocial behavior.
E: Educating the client about the consequences of their actions and how staff will respond to verbal abuse helps in setting expectations and promoting accountability.
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