When an alcoholic patient brought in 12 hours ago in an intoxicated state begins to exhibit tremors and increased blood pressure and is agitated, the nurse assesses that the patient is in:
1. major withdrawal.
2. early withdrawal.
3. delirium tremens.
4. minor withdrawal.
2
The signs of early withdrawal from alcohol are agitation and elevated vital signs. These warning signs usually occur 6 to 12 hours after the last drink.
PTS: 1 DIF: Cognitive Level: Application REF: 1269
OBJ: 3 TOP: Alcoholism KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
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