A client is admitted to the hospital with alcohol withdrawal ...

[silviawilliams41]

A client is admitted to the hospital with alcohol withdrawal delirium. Symptoms the nurse is most likely to observe include:
 
  1. Depression, isolation, and fearfulness
  2. Tachycardia, tremors, and confusion
  3. Lethargy, depression, and bradycardia
  4. Rhinorrhea, nausea, and bradycardia

Question 2

A priority nursing diagnosis for a 25-year-old client admitted to a drug rehabilitation program 4 days ago for chronic cocaine abuse would be:
 
  1. Risk for self-directed violence related to suicidal depression
  2. Risk for noncompliance related to chronic drug use
  3. Disturbed sensory perception related to stimulant drug use
  4. Risk for self-directed violence related to hyperactivity

[akudia]

Answer to Question 1

ANS: 2
Alcohol withdrawal delirium symptoms can include pulse rate greater than 100, insomnia, in-creased hand tremors, psychomotor agitation, frightening hallucinations, and disorientation. Op-tion 2: Depression is not necessarily part of the syndrome, so options 1 and 3 are incorrect. Bradycardia in option 4 is incorrect.

Answer to Question 2

ANS: 1
One of the main symptoms of cocaine withdrawal is intense depression; therefore option 1 is a priority. Risk for noncompliance in option 2 is not the priority, and disturbed sensory perception is not the priority at this time. There is a need to sleep, so the hyperactivity mentioned in option 4 is incorrect.

[silviawilliams41]

Gracias!

[ttt030911]

TYSM