A nurse in an acute care facility is planning care for a client who has a history of alcohol use disorder and is admitted while intoxicated. Which of the following interventions should the nurse plan for the client?

Administer methadone hydrochloride.

Monitor for orthostatic hypotension.

Acidify the client's urine.

Implement seizure precautions.

Answer and Explanation

The Correct Answer is D

A.   Methadone hydrochloride is not indicated for the management of alcohol intoxication or withdrawal. It is primarily used for opioid addiction treatment.
B.   While monitoring for orthostatic hypotension is important in clients with alcohol use disorder, implementing seizure precautions is a higher priority because alcohol withdrawal can lead to
seizures.
C.   Acidifying the client's urine is not indicated in the care of an intoxicated client with alcohol use disorder.
D.   Implementing seizure precautions is essential in clients with alcohol use disorder who are at risk for alcohol withdrawal syndrome, which can include seizures as a potential complication.

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Correct Answer is D

Explanation

A. Cocaine use typically causes hyperthermia (elevated body temperature) rather than hypothermia.
B. Cocaine use is more likely to result in increased alertness, agitation, and hyperactivity rather than lethargy.
C. Cocaine use is associated with tachycardia rather than bradycardia.

D. Cocaine is a stimulant drug that increases sympathetic nervous system activity, leading to elevated blood pressure as one of the primary clinical manifestations.

A. Writes a detailed daily activity schedule B. Isolates self from others C. Reports a lack of sleep D. Refuses to engage in conversation

Correct Answer is C

Explanation

A. Writing a detailed daily activity schedule may indicate organization and planning, which are not typically associated with acute mania.
B. Isolating oneself from others could be a sign of depression rather than acute mania.
C. Reporting a lack of sleep is characteristic of acute mania, as individuals in manic episodes often experience decreased need for sleep.
D. Refusing to engage in conversation could be indicative of various factors, but it is not specific to acute mania.

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A nurse in an acute care facility is planning care for a client who has a history of alcohol use disorder and is admitted while intoxicated. Which of the following interventions should the nurse plan for the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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