A nurse is collecting data from a client who has alcohol use disorder and is experiencing withdrawal. Which of the following manifestations should the nurse expect?

Hypertension

Constipation

Polyuria

Bradycardia

Answer and Explanation

The Correct Answer is A

Alcohol withdrawal can often lead to an increase in blood pressure. The autonomic nervous system becomes hyperactive during withdrawal, resulting in increased sympathetic activity, which can elevate blood pressure.

Constipation is not typically associated with alcohol withdrawal. However, chronic alcohol use can affect the gastrointestinal system and lead to digestive issues, including diarrhea or gastrointestinal bleeding.

Polyuria, which refers to excessive urination, is not a typical manifestation of alcohol withdrawal. However, alcohol use can affect fluid balance and lead to changes in urination patterns.

Bradycardia, or a slow heart rate, is not a common manifestation of alcohol withdrawal. Instead, tachycardia (an increased heart rate) is more commonly observed during withdrawal due to the hyperactivity of the autonomic nervous system.

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Correct Answer is C

Explanation

Choice A Reason:

Increasing the flow rate without healthcare provider guidance can be dangerous and should not be done without proper instruction.

Choice B Reason:

Synthetic blankets can generate static electricity, which poses a fire hazard in the presence of oxygen. Clients using oxygen therapy should be advised to use cotton or wool blankets that are less likely to generate static.

Choice C Reason:

"I will check my oxygen equipment at least once daily." This statement indicates an understanding of the importance of equipment safety and maintenance in home oxygen therapy. Regularly checking oxygen equipment for proper functioning is essential for the client's safety. It helps ensure that the oxygen delivery system is working correctly and that there are no issues with flow rate or oxygen concentration.

Choice D Reason:

Isopropyl alcohol is flammable and should not be used to clean oxygen equipment due to the risk of ignition in the presence of oxygen. Clients should use mild soap and water for cleaning nasal cannulas and other equipment.

A. Urinary retention B. Constipation C. Difficulty swallowing D. Clenched teeth

Correct Answer is D

Explanation

Choice A Reason:

Urinary retention can be a side effect of opioids used in PCA, but it is not a direct indicator of unrelieved pain.

Choice B Reason:

Constipation is a potential side effect of opioid medications, but it does not directly indicate unrelieved pain.

Choice C Reason:

Difficulty swallowing is not a typical indicator of unrelieved pain but may be related to other factors such as postoperative effects or medication side effects.

Choice D Reason:

Clenched teeth can be an indicator of unrelieved pain in a client receiving patient-controlled analgesia (PCA). It suggests that the client is experiencing discomfort and may be trying to endure the pain rather than using the PCA pump to self-administer pain relief. Clients who are in pain may clench their teeth as a response to pain or discomfort.

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A nurse is collecting data from a client who has alcohol use disorder and is experiencing withdrawal. Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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