A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. The nurse should monitor the client for which of the following manifestations?
Decreased blood pressure.
Decreased heart rate.
Hyperthermia.
Hyperglycemia.
The Correct Answer is C
The correct answer is choice c. Hyperthermia.
Choice A rationale:
Decreased blood pressure is not a typical manifestation of alcohol withdrawal. Instead, clients often experience increased blood pressure due to the hyperactive state of the nervous system during withdrawal.
Choice B rationale:
Decreased heart rate is also not common in alcohol withdrawal. Clients usually have an increased heart rate (tachycardia) as part of the withdrawal symptoms.
Choice C rationale:
Hyperthermia, or elevated body temperature, can occur during alcohol withdrawal due to the hyperactive state of the nervous system. This is a serious symptom that requires monitoring and management.
Choice D rationale:
Hyperglycemia is not typically associated with alcohol withdrawal. Blood sugar levels can fluctuate, but hyperglycemia is not a primary concern in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
While it's true that many people feel ashamed to tell their secrets, this response does not actively encourage the client to open up about their feelings. It acknowledges the feeling but does not promote a therapeutic conversation.
Choice B rationale:
Encouraging the client to tell the nurse what they did might not be the most appropriate response. The client might not be ready to disclose their actions and pushing them to do so could lead to further distress. It's important to establish trust and create a safe space for the client before delving into specific details.
Choice C rationale:
The correct choice. This response is empathetic and supportive while also gently encouraging the client to discuss their feelings. It opens the door for the client to share at their own pace and lets them know that the nurse is willing to listen without judgment.
Choice D rationale:
While it's true that the client shouldn't feel embarrassed to talk to the nurse, this response doesn't actively address the client's feelings or concerns. It's more important to provide a response that acknowledges the client's emotions and invites open communication.
Correct Answer is D
Explanation
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