A nurse is collecting data from a client who is receiving treatment for alcohol detoxification. Which of the following findings is the nurse's priority?

Hallucinations

Tremors

Anorexia

Insomnia

Answer and Explanation

The Correct Answer is A

A. Hallucinations. Hallucinations are a sign of severe alcohol withdrawal, such as delirium tremens (DTs), which can be life-threatening and requires immediate medical attention.

B. Tremors. Tremors are a common withdrawal symptom but are not as critical as hallucinations.

C. Anorexia. Loss of appetite is a minor symptom and not life-threatening.

D. Insomnia. Although common in withdrawal, insomnia is not an urgent priority compared to hallucinations.

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Correct Answer is A

Explanation

A. Seizure activity: Seizures are a known complication of alcohol withdrawal due to central nervous system hyperactivity.

B. Pathological change on CT scan: CT scan findings are not directly related to alcohol withdrawal symptoms.

C. Bradycardia: Alcohol withdrawal is typically associated with tachycardia, not bradycardia.

D. Stuporous level of consciousness: Clients experiencing alcohol withdrawal are often agitated or anxious rather than stuporous.

A. Withdrawal symptoms will only manifest as physical discomfort and will not affect a person's mental state. B. Withdrawal symptoms will manifest differently depending on the type of addictive substance. C. Withdrawal symptoms will only occur immediately after the cessation of the addictive substance. D. Withdrawal symptoms will always include severe headache as the primary manifestation.

Correct Answer is B

Explanation

A. Withdrawal symptoms will only manifest as physical discomfort and will not affect a person's mental state. Withdrawal can cause both physical and psychological symptoms, including anxiety, depression, and hallucinations.

B. Withdrawal symptoms will manifest differently depending on the type of addictive substance. Different substances (e.g., alcohol, opioids, stimulants) have distinct withdrawal symptoms. For example, alcohol withdrawal can cause seizures, while opioid withdrawal causes flu-like symptoms.

C. Withdrawal symptoms will only occur immediately after the cessation of the addictive substance. Symptoms may be delayed depending on the substance's half-life and duration of use.

D. Withdrawal symptoms will always include severe headache as the primary manifestation. Headaches are not universal in withdrawal and are substance-dependent.

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A nurse is collecting data from a client who is receiving treatment for alcohol detoxification. Which of the following findings is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is experiencing alcohol withdrawal. Which of the following is an expected finding?

Correct Answer is A

Explanation

Which of the following is a correctly prioritized hypothesis about manifestations of withdrawal symptoms?

Correct Answer is B

Explanation

A nurse is caring for a client who was admitted for alcohol detoxification. Which of the following findings should the nurse monitor for that indicate the client is experiencing alcohol withdrawal?

A nurse manager is talking to a nurse who she suspects has alcohol use disorder. The nurse tells the nurse manager, "I don't have a problem. I'm just tired." The nurse manager should identify that the nurse is using which of the following defense mechanisms?

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A nurse is reinforcing teaching about alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates an understanding of the teaching?

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The nurse is assessing the drinking history of a client with a history of alcohol abuse. The client is being admitted after being found unresponsive in a public place. Which statement would indicate the use of defense mechanisms?

A nurse is caring for a client with whom he has developed a therapeutic relationship and who will be discharged later in the day. The client thanks the nurse for his help during the hospitalization. Which of the following responses should the nurse make?