A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. Which of the following interventions is the nurse's priority?
Support the client's coping skills.
Prevent the client from harming herself or others.
Identify the use of defense mechanisms.
Develop goals for treatment.
The Correct Answer is B
A. Support the client’s coping skills. While important, safety takes precedence in the acute phase.
B. Prevent the client from harming herself or others. Alcohol withdrawal can lead to agitation, hallucinations, or seizures, making safety the nurse's priority.
C. Identify the use of defense mechanisms. This is part of long-term treatment, not immediate care.
D. Develop goals for treatment. Goal-setting is essential for long-term management but is not the priority during acute withdrawal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. Polyphagia: This is not associated with alcohol withdrawal; appetite changes are not characteristic symptoms.
B. Illusions: Visual or auditory illusions are common during alcohol withdrawal and are due to central nervous system hyperactivity.
C. Seizures: Alcohol withdrawal seizures, especially tonic-clonic seizures, can occur within 12–48 hours after cessation.
D. Nystagmus: Nystagmus is more often associated with intoxication rather than withdrawal.
E. Tremors: Tremors (shaking or tremulousness) are hallmark signs of alcohol withdrawal and often appear within hours of cessation.
Correct Answer is ["A","D","E"]
Explanation
A. Family history of addiction: Genetic predisposition and family dynamics can significantly contribute to substance use disorders.
B. Asian ethnicity: Ethnicity alone is not a causative factor for addiction. This choice is incorrect.
C. Poor educational resources: While limited education may correlate with substance use, it is not a direct etiological factor.
D. Low self-esteem: Psychological factors like low self-esteem are strongly linked to the development of addictive behaviors.
E. Lack of support system: Social isolation and lack of support are well-documented risk factors for addiction.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.