The nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal delirium. The nurse would monitor for which symptoms?

Stupor, agitation, muscular rigidity

Hypertension, disorientation, hallucinations

Hypotension, bradycardia, agitation

Hypotension, ataxia, vomiting

Answer and Explanation

The Correct Answer is B

A.   These symptoms are not characteristic of alcohol withdrawal delirium.
B.   Alcohol withdrawal delirium is characterized by symptoms such as hypertension, disorientation, and hallucinations.
C.   Hypotension and bradycardia are not typically associated with alcohol withdrawal delirium. They may be seen in other types of alcohol withdrawal.
D.   These symptoms are not specific to alcohol withdrawal delirium. They may be present in other forms of alcohol withdrawal.

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Correct Answer is A

Explanation

A. Delirium is characterized by a fluctuating level of consciousness, which can include periods of hypervigilance.
B. A slow onset of confusion and agitation is more characteristic of dementia rather than delirium.
C. A decrease in output and vital signs may indicate a different condition, but it is not specific to delirium.
D. Delirium is characterized by an acute onset and is typically short-lived, usually lasting days to weeks. Symptoms lasting longer than a month would suggest a different diagnosis.

A. The client has increasing aggression. B. The client has elevated blood pressure. C. The client has complaints of dizziness. D. The client has extrapyramidal symptoms (EPS).

Correct Answer is D

Explanation

A. Increasing aggression may be an indication for a PRN medication, but benztropine specifically targets extrapyramidal symptoms (EPS).
B. Elevated blood pressure is not a direct indication for benztropine; it is used to address EPS.

C. Complaints of dizziness may not be directly related to EPS, which is the target of benztropine.
D. Benztropine is an anticholinergic medication used to manage extrapyramidal symptoms (EPS) associated with antipsychotic medications like haloperidol.

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The nurse is monitoring a client who abuses alcohol for signs of alcohol withdrawal delirium. The nurse would monitor for which symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse suspects the client is experiencing delirium. Which of the following assessment findings would support the nurse's suspicion?

Correct Answer is A

Explanation

Benztropine is ordered as needed (PRN) for a client taking haloperidol after being diagnosed with schizoaffective disorder. Which of the following assessments by the nurse would indicate a need for this medication?

Correct Answer is D

Explanation

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