An alcohol-dependent patient was hospitalized at 0200 today. When ...

[lracut11]

An alcohol-dependent patient was hospitalized at 0200 today. When would the nurse expect withdrawal symptoms to peak?
 
  a. Between 0800 and 1000 today (6 to 8 hours after drinking stopped)
  b. Between 0200 tomorrow and hospital day 2 (24 to 48 hours after drinking stopped)
  c. About 0200 on hospital day 3 (72 hours after drinking stopped)
  d. About 0200 on hospital day 4 (96 hours after drinking stopped)

Question 2

A patient with Alzheimer's disease has a dressing and grooming self-care deficit. Designate the appropriate interventions to include in the patient's plan of care. Select all that apply.
 
  a. Provide clothing with elastic and hook-and-loop closures.
  b. Label clothing with the patient's name and the name of the item.
  c. Administer antianxiety medication before bathing and dressing.
  d. Provide necessary items, and direct the patient to proceed independently.
  e. If the patient resists, use distraction and then try again after a short interval.

[kaylee05]

Answer to Question 1

ANS: B
Alcohol withdrawal usually begins 6 to 8 hours after cessation or significant reduction of alcohol intake. It peaks between 24 and 48 hours, then resolves or progresses to delirium.

Answer to Question 2

ANS: A, B, E
Providing clothing with elastic and hook-and-loop closures facilitates patient independence. Labeling clothing with the patient's name and the name of the item maintains patient identity and dignity (and provides information if the patient has agnosia). When a patient resists, using distraction and trying again after a short interval are appropriate because patient moods are often labile; the patient may be willing to cooperate during a later opportunity. Providing the necessary items for grooming and directing the patient to proceed independently are inappropriate. Staff members are prepared to coach by giving step-by-step directions for each task as it occurs. Administering anxiolytic medication before bathing and dressing is inappropriate. This measure would result in unnecessary overmedication.

[lracut11]

Gracias!

[epscape]

TYSM