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 A
Explanation
A. Maintain a nonjudgmental attitude: A nonjudgmental approach promotes trust and encourages the client to disclose pertinent information.
B. Avoid mentioning alcohol use when collecting client data: It is essential to discuss alcohol use openly to guide effective care and intervention.
C. Offer sympathetic support: While empathy is important, over-sympathizing may undermine professional boundaries.
D. Verbalize disapproval of the substance abuse: Expressing disapproval is likely to provoke defensiveness and hinder communication.
Correct Answer is ["2"]
Explanation
Formula: Dose to administer ÷ Dose per tablet = Number of tablets
150mg÷75mg/tablet=2 tablets
Answer: 2 tablets
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