The nurse is assisting with the development of care plan for a ...

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The nurse is assisting with the development of care plan for a patient withdrawing from cocaine. What would be the first nursing diagnosis priority for this patient?
 
  a. Altered nutrition; less than body requirements
  b. Risk for altered peripheral tissue perfusion
  c. Risk for fluid volume deficit
  d. High risk for self-directed violence

Question 2

A patient is admitted into a substance abuse treatment center and is withdrawing from alcohol. Which statement made by the patient's family member shows a need for further education?
 
  a. Withdrawal symptoms can begin within a few hours of discontinuation of drinking.
  b. Withdrawal symptoms will improve within 24 hours.
  c. Less than 1 of patients develop delirium tremens.
  d. Benzodiazepines are commonly used for detoxification.

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Answer to Question 1

ANS: D
Depression with suicidal ideation is generally the most serious problem associated with cocaine withdrawal. Altered nutrition, risk for altered peripheral tissue perfusion, and risk for fluid volume deficit are not the priorities for a patient withdrawing from cocaine.

Answer to Question 2

ANS: B
Withdrawal symptoms may continue for 3 to 10 days. Withdrawal symptoms can begin within a few hours of discontinuation of drinking. Less than 1 of patients develop delirium tremens. Benzodiazepines are commonly used for detoxification.