A nurse is completing the admission of a client who is seeking treatment for alcoholism. He tells the nurse that the last time he had any alcohol to drink was at 10 a.m., before he left for the hospital
The nurse closely monitors the client. Which of the following would lead the nurse to suspect that the client is experiencing stage 1 of alcohol withdrawal syndrome? Select all that apply.
A) Slight diaphoresis
B) Hand tremors
C) Intermittent confusion
D) Heart rate of 135 beats/min
E) Normal blood pressure
Ans: A, B, D, E
A person in stage 1 of alcohol withdrawal syndrome exhibits slight diaphoresis, hand tremors, no confusion, elevated heart rate, and normal or slightly elevated blood pressure. A heart rate of 135 beats/min indicates stage 3, or severe alcohol withdrawal syndrome.
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A patient is admitted with a traumatic brain injury (TBI). The nurse would anticipate participating in interventions toward which immediate goal?
1. Reducing cerebral swelling 2. Confining inflammation to one area 3. Supporting absorption of debris from neuronal death 4. Limiting ischemic tissue injury
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Indicate whether the statement is true or false
Which action by the mentor can help reduce the impact of reality shock on the mentee during the recovery phase?
a. Encourage the mentee to perform skills that he or she is comfortable with. b. Maintain a semi-open line of communica-tion. c. Encourage the mentee to try new skills. d. Allow the mentee to work independently.
When a person touches a hot stove, the resulting cellular damage causes a reaction that converts the stimuli into a pain impulse. What is the term for this conversion?
A. Transduction B. Transmission C. Perception D. Modulation