The nursing intervention of highest priority relative to alcohol withdrawal delirium is:
a. application of restraints.
b. reorientation of the patient to reality.
c. identification of existing social supports.
d. maintenance of fluid and electrolyte balance.
D
Maintaining physiological stability is of highest priority. Withdrawal delirium is often accompanied by loss of fluid and electrolytes through vomiting, diarrhea, and diaphoresis.
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When preparing a client for gastric analysis, the nurse should plan for
a. antacid administration. b. fluoroscopic examination. c. frequent expectoration for samples. d. nasogastric tube insertion.
All of the following are early signs of decreased nutritional status except:
1. Decreased body mass index (BMI) 2. Increased blood albumin 3. Decreased percentage of body fat 4. Decreased body weight
The advantages of team nursing include: (Select all that apply)
1. Fosters team cooperation 2. Allows for ancillary staff autonomy 3. Strengthens the RN-client relationship 4. Facilitates decision making at the clinical level 5. Encourages collaboration between team members 6. Provides management experience for team leaders
In relation to primary prevention of drug and alcohol abuse, upon what might a community/public health nurse focus?
A. Getting alcoholics and their families into support groups B. Providing coping skills and antidrug education to school-aged children C. Refusing personally to drink anything other than fruit juices and milk D. Focusing on the children in alcoholic families so they do not repeat the pattern of abuse