A nurse is caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse expect to observe that indicate the client is experiencing alcohol withdrawal?
Decreased blood pressure and nausea
Constipation and pupil constriction
Bone and muscle aches
Increased heart rate and vomiting
The Correct Answer is D
D. Alcohol withdrawal is characterized by a range of symptoms that can vary in severity. Some common symptoms include increased heart rate (tachycardia), sweating, tremors, anxiety, nausea, vomiting, and agitation.
A. Alcohol withdrawal is more commonly associated with increased blood pressure rather than decreased blood pressure. Nausea can be a symptom of alcohol withdrawal, particularly in the early stages, but it is not necessarily a defining characteristic.
B. Constipation and pupil constriction are not typically associated with alcohol withdrawal. These symptoms are more commonly seen with opioid withdrawal.
C Bone and muscle aches are common symptoms of alcohol withdrawal. They can occur as a result of the body's reaction to the sudden cessation of alcohol intake and the associated changes in neurotransmitter levels.
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Related Questions
Correct Answer is D
Explanation
D. The immune system plays a crucial role in the body's response to infections and inflammation. Research suggests that dysregulation of the immune system, including chronic inflammation and autoimmune disorders, may contribute to the development or exacerbation of certain mental health disorders.
A. Adverse effects of treatment for mental health disorders can impact the client's well-being and quality of life but they are not typically considered risk factors for developing mental illness. B Medication adherence refers to the extent to which a client follows the prescribed treatment regimen. Poor adherence does not increase the risk for mental illness
C. Allergic reactions primarily affect the respiratory or immune systems and are not typically linked to mental health outcomes.
Correct Answer is B
Explanation
B. Borderline personality disorder (BPD) is characterized by unstable mood, behavior, and relationships, often leading to impulsive behaviors including self-harm. It's crucial for the family to understand the potential for self-harm in individuals with BPD and to learn how to recognize warning signs and effectively intervene to ensure the client's safety.
A. While medication may be a component of treatment for some individuals with BPD, it is not typically the first-line intervention for managing the disorder.
C. Group therapy, particularly dialectical behavior therapy (DBT) groups, can be beneficial for individuals with BPD as they provide opportunities for skill-buildin. However, it may not be the immediate priority when teaching the family about BPD.
D. Insurance coverage can be addressed at a later time, and the immediate focus should be on providing information and support to help the family understand and cope with the diagnosis and its implications for the client's well-being.
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