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 C

Explanation

A. While providing reassurance is important, this response does not directly address the client's statement about future attempts.
B. This response may minimize the seriousness of the client's statement and is not the best way to address the situation.
C. This response directly addresses the client's statement, seeking clarification on her plans. It is important to assess the level of risk and ensure the client's safety.
D. While expressing empathy and highlighting the client's positive qualities can be helpful, it may not directly address the immediate concern of the client's statement about future attempts.

A. "There may be an increased risk of socialization while taking this drug." B. "Clients may lose all inhibitions while on this drug." C. "There may be an increased risk of suicide while taking this drug." D. "If you miss a dose of this drug, double the dose the next time you take it."

Correct Answer is C

Explanation

A) Incorrect. This statement does not provide relevant information about the medication or potential risks.

B) Incorrect. This statement is not accurate and may cause unnecessary concern or confusion for the client.

C) Correct. Adolescents and young adults prescribed with antidepressant medications should be informed about the potential increased risk of suicidal thoughts or behaviors, especially in the early stages of treatment. This information is important for the client's safety and allows for appropriate monitoring.

D) Incorrect. Doubling the dose if a dose is missed is not a safe or appropriate practice. The client should be instructed on what to do if they miss a dose according to their healthcare provider's instructions.

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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?

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Naxlex Comprehensive Predictor Exams

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