All of the following are symptom of alcohol withdrawal except
Visual hallucinations
Tremors
Paroxysmal sweating
Pupil dilation
The Correct Answer is D
A. Visual hallucinations can occur during alcohol withdrawal, especially in more severe cases such as delirium tremens (DTs). Hallucinations are part of the neuropsychiatric symptoms seen in alcohol withdrawal.
B. Tremors are one of the most common symptoms of alcohol withdrawal. Hand tremors are typically observed and can range from mild to severe.
C. Paroxysmal sweating (or excessive sweating) is also a common symptom of alcohol withdrawal. It occurs due to autonomic instability in the body during withdrawal, and can be quite pronounced.
D. Pupil dilation is not typically a symptom of alcohol withdrawal. In fact, alcohol withdrawal more commonly causes pupil constriction in mild to moderate withdrawal, and pupillary changes are generally less pronounced than other symptoms like tremors, sweating, or anxiety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Childbirth classes to prepare for the birth may be relevant, but they are not the priority in this situation. The immediate concern is the safety and well-being of the pregnant woman and her ability to address the abuse.
B. Risks of pregnancy complications caused by abuse are important to discuss, but the priority at this moment should be ensuring the woman knows where to get help and support regarding the domestic violence she is experiencing.
C. Instructions on the use of resources available to her may be important, but the most immediate concern is ensuring she is aware of domestic violence resources that can help her escape further harm.
D. Available resources on domestic violence should be the priority. The nurse needs to ensure that the woman knows how to access safe spaces and support systems to escape from the abusive relationship. Domestic violence poses immediate risk to both the woman and her pregnancy, and addressing it must be the first step in the care plan.
Correct Answer is A
Explanation
A. An acute medical condition is the most likely cause of delirium. Delirium is typically a temporary, acute confusional state that results from an underlying medical condition, such as infection (e.g., urinary tract infections), dehydration, medications, or metabolic imbalances. Delirium is often reversible once the underlying cause is treated.
B. Progressive deficits in memory of condition refers to conditions like Alzheimer's disease or other types of dementia, where memory loss is gradual and progressive over time. This is not characteristic of delirium, which usually occurs suddenly and may involve a fluctuating course of confusion.
C. Plaques found on the outside of dead and damaged neurons is characteristic of Alzheimer's disease and certain other neurodegenerative disorders. These plaques, made up of amyloid-beta protein, are not associated with delirium.
D. Progressive nerve degeneration describes the pathophysiology of chronic conditions like Alzheimer's disease or Parkinson's disease, where there is a gradual decline in cognitive function due to nerve degeneration. Delirium is an acute condition and does not involve the progressive degeneration seen in these diseases.
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