A nurse is reviewing provider prescriptions for a client who is experiencing alcohol withdrawal.

Exhibits

Complete the following sentence by using the lists of options.

The nurse should first
dropdown
followed by
dropdown
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}

Rationale for correct choices:

Administer metoclopramide 10 mg IM: The client is experiencing nausea and vomiting, and metoclopramide is an antiemetic that can help alleviate these symptoms. Managing nausea is crucial for preventing further dehydration and discomfort, especially as the client is refusing to eat or drink anything and has been vomiting most of the night.
Administer diazepam 10 mg PO: Diazepam is a benzodiazepine used to manage alcohol withdrawal symptoms, such as anxiety and the risk of seizures. It should be administered to prevent severe withdrawal symptoms and ensure the client’s safety, once nausea is managed.

Rationale for incorrect choices:

Offer ice chips and fluids: While ice chips may help with hydration, the priority is to address the nausea and alcohol withdrawal symptoms first. Administering metoclopramide is the first step to manage nausea, making fluid intake more tolerable.
Do a CBC and basic metabolic profile: These tests are important for monitoring the client’s condition but are not as urgent as managing nausea and alcohol withdrawal symptoms. These tests should be completed once the acute symptoms are addressed.
Perform alcohol use disorders identification test (AUDIT): The AUDIT is useful for assessing the severity of alcohol use disorder, but it is not an immediate priority. Managing the client's physical symptoms takes precedence before conducting assessments.
Begin substance use group therapy: Group therapy is an essential part of treatment but should not be initiated before addressing the client’s immediate physical needs, particularly nausea and alcohol withdrawal symptoms.

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Correct Answer is A

Explanation

A. Transfer a client who has delirium from a bed to a wheelchair: Assisting with transfers and mobility is within the scope of practice for an AP, especially if the client is stable and the task does not require clinical decision-making.

B. Inform a client who has schizophrenia about available community services: This task requires clinical judgment and communication skills to ensure that the client understands the information and that the services are appropriate for their needs. It should be performed by a nurse, not an AP.

C. Obtain a list of current medications from a client who is experiencing a manic episode: While obtaining a medication list is an important task, it requires assessment and evaluation of the client's condition, which should be done by a nurse, especially when the client is in a manic state and may have impaired judgment or communication.

D. Insert an NG tube for a client who has acetaminophen toxicity: Inserting an NG tube is an invasive procedure that requires clinical knowledge and skill. It should be performed by a licensed nurse or physician, not an AP.

A. High self-esteem B. Low socioeconomic status C. Genetic predisposition D. History of maternal infection during pregnancy

Correct Answer is C

Explanation

A. High self-esteem: High self-esteem is not a risk factor for alcohol use disorder. In fact, individuals with alcohol use disorder often struggle with low self-esteem and emotional distress.

B. Low socioeconomic status: While low socioeconomic status can be a risk factor for various mental health and substance use issues, it is not as directly linked to alcohol use disorder as other factors, such as genetics or environmental influences.

C. Genetic predisposition: Genetic predisposition is a significant risk factor for alcohol use disorder. Family history and genetic factors can influence the likelihood of developing alcohol use disorder, making it a key factor to include in the presentation.

D. History of maternal infection during pregnancy: While maternal infections during pregnancy can have various effects on fetal development, they are not directly linked to the development of alcohol use disorder.

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A nurse is reviewing provider prescriptions for a client who is experiencing alcohol withdrawal. Exhibits Complete the following sentence by using the lists of options. The nurse should first dropdownfollowed bydropdown.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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A nurse is reviewing provider prescriptions for a client who is experiencing alcohol withdrawal.

Exhibits

Complete the following sentence by using the lists of options.

The nurse should first
dropdown
followed by
dropdown
.