A nurse is reviewing the day 5 vital signs and nurses' notes.

Exhibits

A nurse is evaluating the client's response to treatment.

Select the 4 findings that indicate the client is progressing with their plan of care.

Appetite

Movement through the stages of grief

Cognition

Participation in group therapy

Client resolves to limit alcohol consumption

Answer and Explanation

Correct Answer : A,B,D,E

A.   Appetite:
The client has a good appetite, which is a positive sign of progress. A healthy appetite can indicate the resolution of some symptoms related to alcohol withdrawal, as well as an improvement in the client’s general health and nutrition. It also suggests that the client is physically stabilizing and no longer experiencing significant nausea or gastrointestinal issues that are common in alcohol withdrawal.
B.   Movement through the stages of grief:
The client has accepted the news about their parents' death and is moving through the stages of grief.
This is a significant step in emotional healing and demonstrates psychological progress. Acceptance of
the loss is a positive indicator of the client’s ability to cope with the bereavement, which is important for
long-term recovery, particularly given that grief and emotional stress contributed to the relapse.
C.   Cognition:
While cognitive status is important, there is no direct evidence presented that the client's cognition is specifically improving in this case. The nurses' notes do not mention any cognitive deficits or assessments directly related to cognition, and there are no significant changes to indicate cognitive improvement. This would require further assessment to determine if cognitive function is indeed progressing.
D.   Participation in group therapy:
Participation in group therapy is another key indicator of progress. Group therapy is an essential part of recovery for clients with alcohol use disorder, providing a supportive environment where clients can share their experiences and receive feedback from others. The fact that the client is attending group therapy shows engagement in their treatment plan and is likely helping the client with social support and recovery-focused education.
E.   Client resolves to limit alcohol consumption:
The client has resolved to limit alcohol consumption, which is a clear and positive commitment to change. This suggests that the client is taking responsibility for their recovery and recognizes the need for behavioral change to prevent future alcohol use. Such a commitment is a crucial step in overcoming alcohol use disorder and achieving long-term sobriety.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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

Explanation

Correct choices are metoclopramide then propranolol Rationale

1. Metoclopramide:

The first choice should be metoclopramide, an antiemetic, because the client is experiencing vomiting. Vomiting is a common symptom of alcohol withdrawal, which can be aggravated by nausea.

Metoclopramide can help manage the vomiting by promoting gastric emptying and alleviating nausea, thus improving the client's comfort and preventing further complications from dehydration and electrolyte imbalances due to vomiting.

2.Propranolol:

After addressing the vomiting, the nurse should administer propranolol. This beta-blocker is useful for managing alcohol withdrawal symptoms such as elevated heart rate and blood pressure, which the client is exhibiting. On Day 2, the client's blood pressure has increased significantly (198/86 mm Hg), and their heart rate has risen to 116/min, which suggests sympathetic hyperactivity typical of alcohol withdrawal. Propranolol can help reduce these vital sign changes, manage agitation, and prevent complications such as cardiovascular instability.

A. Offer the client food and fluids every 2 hr. B. Monitor the client's vital signs every 4 hr. C. Document the client's behavior every 15 min. D. Obtain the provider's prescription within 60 min.

Correct Answer is C

Explanation

A. Offering food and fluids is important, but it is not the most urgent action. The priority during seclusion is to monitor the client's well-being and behavior to ensure safety and effectiveness.
B. Vital signs should be monitored regularly, but more frequent monitoring is often necessary in situations involving seclusion, especially if the client is at risk for medical complications.
C. Documenting the client's behavior every 15 minutes is essential for ensuring that the client's safety is maintained and to comply with legal and ethical guidelines for seclusion.
D. The provider's prescription for seclusion should be obtained promptly, and it is important to act within the required timeframes. However, the immediate priority is monitoring the client's behavior for safety.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reviewing the day 5 vital signs and nurses' notes. Exhibits A nurse is evaluating the client's response to treatment. Select the 4 findings that indicate the client is progressing with their plan of care.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing alcohol withdrawal. Exhibits Complete the following sentence by using the lists of options. The nurse should first administer dropdown followed by administering dropdown

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

Explanation

A nurse has placed a client who has become physically aggressive into seclusion. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?

A nurse is caring for a group of clients on a mental health unit. For which of the following clients is the nurse considered a mandated reporter to the appropriate agency?

A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer's disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?

A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?

A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?

A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?

A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?

A nurse is reviewing the day 5 vital signs and nurses' notes.

Exhibits

A nurse is evaluating the client's response to treatment.

Select the 4 findings that indicate the client is progressing with their plan of care.