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 D
Explanation
A. “I’m not very comfortable with being alone yet." While this statement reflects a challenge, it does not directly suggest a risk of relapse.
B. "Shooting baskets helps me not think about getting high." This reflects a positive coping mechanism.
C. "I am going to take up a new hobby. It's time to start something new." Engaging in new activities is a sign of recovery.
D. "I can still hang out with my old friends. I am just not going to use." Associating with friends who use substances significantly increases the risk of relapse.
Correct Answer is ["3"]
Explanation
Ordered: Fluoxetine 30 mg PO daily
Available: Fluoxetine 10 mg/tablet
Formula: Tablet s=Dose ordered /Dose available
Tablets= 30 mg10 mg
=3 tablets
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