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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Ordered: Lithium 300 mg
Available: Lithium 150 mg/cap
Formula:
Capsules=Dose ordered /Dose available
Capsules= 300 mg150 mg
= 2 caps
Correct Answer is D
Explanation
A. Acupuncture: While it may be used as a complementary therapy, it is not a primary approach.
B. Prayer: This may provide personal comfort but is not a medical treatment.
C. Hypnosis: Hypnosis is not widely used or validated for substance abuse treatment.
D. Detoxification: Detoxification is the process of safely removing a substance from the body, often under medical supervision.
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