An alcoholic is brought into the emergency department in an intoxicated state at 2000 . The day shift nurse assesses the patient to exhibit tremors, have increased blood pressure, and agitation at 0800 rounds
What do these signs and symptoms indicate? a. Major withdrawal
b. Early withdrawal
c. Delirium tremens
d. Minor withdrawal
B
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.
You might also like to view...
A nurse caring for a patient who is undergoing a third round of chemotherapy is preparing to administer ondansetron [Zofran] 30 minutes before initiation of the chemotherapy
The patient tells the nurse that the ondansetron did not work as well the last time as it had the first time. What will the nurse do? a. Administer the ondansetron at the same time as the chemotherapy. b. Contact the provider to suggest using high-dose intravenous dolasetron [Anze-met]. c. Request an order to administer dexame-thasone with the ondansetron. d. Suggest to the provider that loperamide [Lomotil] be given with the ondansetron.
The nurse is aware that vitamins are organic compounds that differ in function and availability. When discussing the difference with a client, which of the following statements would best describe vitamins?
A) Vitamins are composed of long chains of molecules linked together. B) Vitamins provide energy. C) Vitamins are susceptible to destruction by factors such as heat, air, and light. D) Vitamins exist in only one active form.
How would you safely identify the medications on the set-up? Provide rationales to explain why you believe your actions are important
You have ‘scrubbed-in' to take over the instrument nurse role for a patient undergoing a complex breast reconstruction involving a latissimus dorsi free flap. The procedure is at the mid-way point when you scrub in. The instrumentation set-up has multiple receivers (i.e. gallipots) and syringes containing a variety of fluids, which your colleague identifies as local anaesthetic, heparinised saline and adrenaline solutions. None of the containers or syringes is labelled. What will be an ideal response?
The nurse is reviewing Keirnan's extended family tree to help the family identify genetic makeup due to Kiernan's diagnosis of cystic fibrosis. The nurse knows that when looking at the extended family, it usually reviews:
1. One set of grandparents from the paternal and maternal side. 2. Three generations of family members from the paternal and maternal sides. 3. Nontraditional family patterns. 4. Nuclear family patterns.