A nurse is collecting data from a client who reports drinking alcoholic beverages daily but has not consumed alcohol in the last 24 hr. Which of the following findings should the nurse identify as a manifestation of alcohol withdrawal?
Bradycardia
Drowsiness
Double vision
Hypertension
The Correct Answer is D
A. Bradycardia (slow heart rate) is not typically associated with alcohol withdrawal. Instead, tachycardia (rapid heart rate) is more commonly observed due to the stimulant effects of alcohol withdrawal on the autonomic nervous system.
B. Drowsiness is not a common symptom of alcohol withdrawal. Instead, individuals may experience insomnia or disturbed sleep patterns as part of withdrawal symptoms.
C. Double vision (diplopia) is not a typical finding in alcohol withdrawal.
D. When a person stops or significantly decreases their alcohol intake after long-term use, the body can react with symptoms like increased blood pressure.
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Related Questions
Correct Answer is D
Explanation
A. Bradycardia (slow heart rate) is not typically associated with alcohol withdrawal. Instead, tachycardia (rapid heart rate) is more commonly observed due to the stimulant effects of alcohol withdrawal on the autonomic nervous system.
B. Drowsiness is not a common symptom of alcohol withdrawal. Instead, individuals may experience insomnia or disturbed sleep patterns as part of withdrawal symptoms.
C. Double vision (diplopia) is not a typical finding in alcohol withdrawal.
D. When a person stops or significantly decreases their alcohol intake after long-term use, the body can react with symptoms like increased blood pressure.
Correct Answer is A
Explanation
A. This response encourages the client to express their feelings and memories about their relationship with their deceased partner. It allows the client to talk about their emotions, reminisce about positive memories, and potentially share any unresolved issues or feelings of loss. This can be therapeutic as it provides an opportunity for the client to process their grief through storytelling and expression.
B. This response shifts the focus from the client's experience to the nurse's own experience. It can detract from the client's need to talk about their own feelings and may not be perceived as empathetic. While sharing personal experiences can sometimes create rapport, in this context, it may not be the most therapeutic approach as it might minimize the client's unique experience and emotions.
C. This response assumes a directive approach, suggesting what the client "should" do. While encouraging a return to routine activities can be beneficial in some cases, it may not be appropriate immediately after a significant loss. Grieving is a personal process, and the client may not be ready to engage in usual activities right away. It's important to assess the client's readiness and provide support tailored to their current emotional state.
D. This response minimizes the client's feelings by suggesting that their experience is universal. While it's true that many people experience sadness and grief after a loss, each individual's response is unique. This statement may invalidate the client's emotions and fail to acknowledge the depth of their distress. It's important to validate the client's feelings and provide reassurance that their emotions are normal in the context of grief.
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