You monitor John Doe for signs and symptoms of alcohol withdrawal and DTs. So far he is
restless, has tremors, and has a low-grade fever. Which of the symptoms listed are symptoms
of the more severe DTs? Select all that apply.
a. GI bleeding
b. Hallucinations
c. Hypotension
d. Somnolence
e. Extreme diaphoresis
f. Tachycardia
g. Vomiting
b, e, f, g
Severe symptoms of DTs might begin 24 to 72 hours after the last drink and include visual and
auditory hallucinations, disorientation, hypertension, tachycardia, agitation, severe diaphoresis, and
vomiting. The presence of DTs is a true medical emergency and can progress to seizures and death if
not treated. It is important to recognize and prevent DTs.
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The student nurse is studying for a pharmacology exam and notices that many of the adrenergic blocking antagonists drugs studied in class have what suffix?
A) -aine B) -lol C) -azole D) -triptan
Which interventions will help to lessen the effects of sundown syndrome? (Select all that apply.)
a. Provide activity that stimulates the client's interest. b. Assist in toileting to prevent incontinence. c. Turn on lights before the room gets dark. d. Provide companionship. e. Prepare client for sleep by turning off lights. f. Reduce environmental stimulation at dinner. g. Maintain client's familiar routine.
Postmenopausal women should be instructed to perform breast self-examination (BSE)
a. on the same date of their choice each month. b. every 3 months. c. every day, because they are at high risk for breast cancer. d. whenever they begin to take estrogen supplements.
A client calls the clinic and asks the nurse if using Afrin nasal spray would be alright to relieve the nasal congestion he is experiencing due to seasonal allergies. What instructions should the nurse provide to the client to avoid complications?
A) Report white patches in the mouth because Afrin can cause a fungal infection. B) Do not use Afrin for longer than 3 to 5 days in a row or rebound congestion can occur. C) Taper the dose when discontinuing the medication. D) Do not operate machinery or drive while using Afrin nasal spray.