A client is admitted for alcohol intoxication. When assessing the client, which symptoms of alcohol abuse does the nurse anticipate?
1. Excessive sweating, restlessness, dilated pupils, agitation, goose bumps, tremors, decreased heart rate and blood pressure, nausea and vomiting, and abdominal cramps
2. Tremors, fatigue, anxiety, abdominal cramping, hallucinations, confusion, seizures, and delirium
3. Mental depression, anxiety, extreme fatigue, and hunger
4. Rarely observed
2
Rationale 1:Excessive sweating, restlessness, dilated pupils, agitation, goose bumps, tremors, decreased heart rate and blood pressure, nausea and vomiting, and abdominal cramps are symptoms of opioid withdrawal.
Rationale 2:Tremors, fatigue, anxiety, abdominal cramping, hallucinations, confusion, seizures, and delirium are symptoms of alcohol withdrawal.
Rationale 3:Mental depression, anxiety, extreme fatigue, and hunger are symptoms of cocaine withdrawal.
Rationale 4:Rarely observed is incorrect because this is common with hallucinogens.
Global Rationale: Tremors, fatigue, anxiety, abdominal cramping, hallucinations, confusion, seizures, and delirium are symptoms of alcohol withdrawal. Excessive sweating, restlessness, dilated pupils, agitation, goose bumps, tremors, decreased heart rate and blood pressure, nausea and vomiting, and abdominal cramps are symptoms of opioid withdrawal. Mental depression, anxiety, extreme fatigue, and hunger are symptoms of cocaine withdrawal. The client will have symptoms of withdrawal because this is common with hallucinogens.
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