Author Question: An older adult patient is currently undergoing detoxification for alcohol at a rehabilitation center ... (Read 67 times)

craiczarry · **on:** Jul 11, 2018

An older adult patient is currently undergoing detoxification for alcohol at a rehabilitation center

When assessing the patient using the Clinical Institute Withdrawal Assessment tool, the nurse determines the patient's current score to be 23 . The nurse:
a. immediately institutes seizure precautions.
b. monitors the patient's vital signs every 2 hours.
c. arranges for the patient to be transferred to an acute care hospital.
d. shares with the patient that the detoxifica-tion process is almost complete.

Question 2

A patient has a low sodium level but normal blood osmolarity. What does the nurse understand about this condition?

a. The two values are not related.
b. The patient is overhydrated.
c. The patient has pseudohyponatremia.
d. The patient has end-stage kidney disease.

sultana.d · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C
The maximum score on this tool is 67, and patients who score higher than 20 should be admitted to a hospital. The other options are incorrect.

Answer to Question 2

C
Pseudohyponatremia is a condition in which the serum sodium is low, but osmolarity remains normal. The patient is not overhydrated nor does he or she have end-stage renal disease.