Author Question: A client is admitted to the hospital with alcohol withdrawal delirium. Symptoms the nurse is most ... (Read 84 times)

silviawilliams41 · **on:** Jul 19, 2018

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 · **Reply #1 on:** Jul 19, 2018

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.