The nurse in the ICU is caring for a client who was found unresponsive on a sidewalk. The client's blood alcohol level was three times the normal range. Which medications are commonly used for alcohol withdrawal symptoms?

Chlordiazepoxide and folic acid

Promethazine and thiamine

Chlordiazepoxide and lorazepam

Lorazepam and promethazine

Answer and Explanation

The Correct Answer is C

A. Chlordiazepoxide is a benzodiazepine used for alcohol withdrawal, but folic acid is not commonly used for managing withdrawal symptoms.
B. Promethazine is an antiemetic, and thiamine is given to prevent Wernicke's encephalopathy, but they are not primarily used to manage withdrawal symptoms.
C. Chlordiazepoxide and lorazepam are both benzodiazepines that are commonly used to manage alcohol withdrawal symptoms by calming the nervous system and preventing seizures or delirium tremens.
D. Lorazepam is appropriate, but promethazine is not typically used to treat alcohol withdrawal symptoms.

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Correct Answer is C

Explanation

A. Encouraging denial of illness is incorrect as denial is not a healthy coping mechanism and may hinder treatment adherence.
B. Encouraging the patient to let staff have total control is incorrect because patient autonomy and involvement in care decisions enhance coping and emotional well-being.
C. Fostering trust in the interprofessional health care team is correct as it helps the patient feel supported and engaged in their care, reducing anxiety and promoting better coping strategies.
D. Telling the patient that everything will be all right is incorrect because it is a false reassurance that does not validate the patient's feelings or situation.

A. The concept of equianalgesic uses morphine as a basis for dosage comparison for other medications. B. The only way to assess pain in patients unable to verbalize because of mechanical ventilation is through observation of behavioral indicators. C. Meperidine, a synthetic form of morphine, is much stronger and is given at lower doses at less frequent intervals. D. The single most important assessment tool available to the nurse is the patient's self-report. E. Transcutaneous electrical nerve stimulation and application of heat or cold therapy stimulate the nonpain sensory fibers.

Correct Answer is ["A","B","D","E"]

Explanation

A. Equianalgesic dosing compares other opioids to morphine to ensure that equivalent pain relief is achieved.
B. For patients unable to verbalize pain, behavioral indicators such as facial expressions or body movements are the best way to assess pain.
C. Meperidine is not stronger than morphine and has a higher risk of toxicity, especially when given at higher doses or frequent intervals.
D. The patient’s self-report is considered the most accurate and essential tool for assessing pain.
E. Transcutaneous electrical nerve stimulation and heat/cold therapy work by stimulating nonpain sensory fibers, which can help alleviate pain by overriding pain signals.

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The nurse in the ICU is caring for a client who was found unresponsive on a sidewalk. The client's blood alcohol level was three times the normal range. Which medications are commonly used for alcohol withdrawal symptoms?

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Naxlex Comprehensive Predictor Exams

Which therapeutic technique may be used to enhance coping in the critical care environment?

Correct Answer is C

Explanation

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Correct Answer is ["A","B","D","E"]

Explanation

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