The nurse is caring for a client who has a history of alcohol use disorder and is experiencing withdrawal symptoms. Which of the following should be the priority action by the nurse?

Support the client's attempt to rebuild damaged interpersonal relationships.

Teach the client about the effects of alcohol dependence and the need for rehabilitation.

Teach the client alternative strategies for managing anxiety.

Prepare to administer Ativan as ordered.

Answer and Explanation

The Correct Answer is D

Choice A reason:
Supporting the client's attempt to rebuild damaged interpersonal relationships is an important long-term goal in the recovery process. However, it is not the immediate priority when a client is experiencing acute withdrawal symptoms, which can be life-threatening.

Choice B reason:
Educating the client about the effects of alcohol dependence and the need for rehabilitation is crucial for long-term recovery and preventing relapse. Nevertheless, during acute withdrawal, the priority is to manage the physical and psychological symptoms safely.

Choice C reason:
Teaching the client alternative strategies for managing anxiety is a valuable part of therapy and helps in long-term coping. However, during acute withdrawal, the client may not be able to learn or apply these strategies effectively due to the severity of their symptoms.

Choice D reason:
Preparing to administer Ativan as ordered is the priority action. Ativan (lorazepam) is a benzodiazepine commonly used to treat alcohol withdrawal symptoms. It helps to prevent seizures, reduce agitation, and manage other withdrawal symptoms. During the acute phase of alcohol withdrawal, maintaining physiological stability and ensuring the client's safety are the primary concerns.

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Correct Answer is C

Explanation

Choice A reason: Aspirin is not used to reverse the effects of opioids. It is an anti-inflammatory drug that can reduce pain and fever, but it does not have the capability to counteract opioid effects.

Choice B reason: Acetaminophen, also known as Tylenol, is a pain reliever and a fever reducer. It does not have the properties to reverse opioid overdoses and is not an antidote for opioids.

Choice C reason: Naloxone is the correct medication to reverse the effects of opioids. It is an opioid antagonist that can quickly restore normal breathing in a person if their breathing has slowed or stopped because of an opioid overdose. Naloxone binds to opioid receptors and can reverse and block the effects of other opioids.

Choice D reason: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to treat pain, fever, and inflammation. Like aspirin and acetaminophen, it does not reverse the effects of an opioid overdose.

In conclusion, naloxone is the medication that is used to reverse the effects of opioids in the case of an overdose. It is a critical drug in emergency situations involving opioids and can save lives by reversing life-threatening respiratory depression caused by opioid overdose. Healthcare providers should be prepared to administer naloxone and provide appropriate follow-up care after its use.

A. Turn on a dance video so the client can burn off excess energy. B. Take the client to a calm environment and offer snacks. C. Offer the client a low-calorie snack in return for stopping the behavior. D. Observe the client closely for the development of aggressive behavior.

Correct Answer is B

Explanation

Choice A: Turn on a dance video so the client can burn off excess energy.
This intervention might help the client to channel their energy in a safe and controlled manner. However, it might also reinforce the manic behavior, which could be counterproductive in the long term.

Choice B: Take the client to a calm environment and offer snacks.
This intervention could help to distract the client from their manic behavior and provide them with a calming and grounding experience. Offering snacks could also help to stabilize their energy levels.

Choice C: Offer the client a low-calorie snack in return for stopping the behavior.
This intervention could be seen as a form of behavioral reinforcement. However, it might not be effective if the client is not motivated by food or if they perceive it as a form of manipulation.

Choice D: Observe the client closely for the development of aggressive behavior.
This intervention is crucial for ensuring the safety of the client and others in the unit. If the client's behavior escalates to aggression, the nurse would need to take immediate steps to de-escalate the situation and protect everyone involved.

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The nurse is caring for a client who has a history of alcohol use disorder and is experiencing withdrawal symptoms. Which of the following should be the priority action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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