A nurse is planning care for a client who is undergoing alcohol withdrawal and is receiving diazepam. Which of the following interventions should the nurse include in the plan?
Administer the medication subcutaneously.
Initiate seizure precautions.
Administer the medication with an antacid.
Initiate contact precautions.
The Correct Answer is B
A. Administer the medication subcutaneously – Diazepam should be given orally or intravenously in severe cases, not subcutaneously.
B. Initiate seizure precautions – This is the correct answer. Alcohol withdrawal can lead to seizures due to central nervous system hyperactivity. Diazepam, a benzodiazepine, is used to prevent seizures and manage withdrawal symptoms.
C. Administer the medication with an antacid – There is no need to administer diazepam with an antacid; doing so can interfere with absorption.
D. Initiate contact precautions – Alcohol withdrawal is not an infectious condition, so contact precautions are unnecessary.
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Related Questions
Correct Answer is D
Explanation
A. Beneficence – This principle refers to doing good for the client, such as providing effective care and promoting well-being. While the nurse is educating the client, this action is more about truthfulness than actively promoting well-being.
B. Fidelity – Fidelity refers to maintaining trust and keeping commitments to the client. While honesty builds trust, fidelity is more about keeping promises rather than providing truthful information.
C. Autonomy – Autonomy means respecting a client’s right to make decisions about their care. While education supports informed decision-making, the nurse’s focus in this scenario is on honesty rather than respecting autonomy.
D. Veracity – Veracity refers to truthfulness and honesty in communication. The nurse is providing accurate information about the side effects of transcranial magnetic stimulation, ensuring that the client has correct expectations.
Correct Answer is C
Explanation
A. Lying down after meals increases reflux by allowing stomach contents to flow back into the esophagus.
B. High-fat foods delay gastric emptying, worsening heartburn.
C. Carbonated beverages may help neutralize stomach acid and provide symptom relief when sipped in moderation.
D. Hot herbal tea can relax the lower esophageal sphincter, exacerbating reflux.
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