A client with a history of heavy alcohol use is brought to an ...

[kwoodring]

A client with a history of heavy alcohol use is brought to an emergency department (ED) by family members who state that the client has had nothing to drink in the last 24 hours.
 
  Which client symptom should the nurse immediately report to the ED physician? A. Antecubital bruising
  B. Blood pressure of 180/100 mm Hg
  C. Mood rating of 2/10 on numeric scale
  D. Dehydration

Question 2

The most effective intervention for clients with delirium is which of the following?
 
  A) Giving detailed explanations
  B) Managing environmental stimuli
  C) Promoting rest with PRN medications
  D) Providing activities for distraction

[macybarnes]

Answer to Question 1

B
The nurse should recognize that high blood pressure is a symptom of alcohol withdrawal and should promptly report this finding to the physician. Complications associated with alcohol withdrawal may progress to alcohol withdrawal delirium and possible seizure activity on about the second or third day following cessation of prolonged alcohol consumption.

Answer to Question 2

B
Feedback: Clients with delirium become overstimulated easily; their ability to process environmental stimuli is impaired.

[kwoodring]

TYSM

[AmberC1996]

Excellent