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

Answer and Explanation

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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Correct Answer is A

Explanation

A. Acute toxicity to sedatives, especially at high doses, can lead to various central nervous system effects, including severe hallucinations. Hallucinations can involve distorted perceptions of sensory experiences, such as seeing, hearing, or feeling things that are not present. These hallucinations may be vivid, intense, and disturbing, especially during acute intoxication.

B. Negative symptoms are more commonly associated with chronic psychotic disorders like schizophrenia rather than acute toxic reactions.

C. Prolonged hallucinations are less characteristic of acute toxicity and are more commonly seen in conditions like schizophrenia or certain drug-induced psychotic disorders.

D. Prolonged delusions typically characterize chronic psychotic disorders rather than acute toxic reactions.

A. Relapses signal failure of the abstinence plan, and the plan must be changed. B. Relapses may indicate that the client has very little willpower. C. Relapses should be expected and be looked at as an opportunity. D. Relapses are rare and unlikely to occur.

Correct Answer is C

Explanation

C. This statement emphasizes a crucial aspect of relapse prevention in substance use disorder treatment. Relapses are common in the recovery process and should not be seen as failures but rather as opportunities for learning and growth.

A. Relapses are common in the course of recovery from substance use disorders and do not necessarily indicate failure.

B. Relapse is not solely a result of willpower or lack thereof. It involves various factors, including biological, psychological, social, and environmental influences.

D. Relapses are common in the journey of recovery from substance use disorders, especially in the early stages when individuals are still learning to navigate triggers and develop coping strategies.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has substance use disorder and is experiencing acute toxicity to sedatives, but has no history of schizophrenia spectrum disorders. Which of the following manifestations should the nurse expect the client to experience?

Correct Answer is A

Explanation

A nurse is discussing relapse potential with a group of clients and their families. The nurse should include which of the following statements about relapse prevention?

Correct Answer is C

Explanation

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