Ten hours after admission to the ICU following an auto accident, a client begins to exhibit mild tachycardia, irritability, and tremors. Three hours later the client has a grand mal seizure. The staff suspect that the client has:
1. Wernicke's encephalopathy.
2. Korsakoff's syndrome.
3. Undetected internal bleeding.
4. Alcohol withdrawal syndrome.
4
Rationale: Alcohol withdrawal syndrome is marked by mild tachycardia, irritability, and tremors. Korsakoff's syndrome is a disturbance in short-term memory that occurs in people who have been drinking for many years. Wernicke's encephalopathy is a neurologic disease characterized by ataxia, sixth cranial nerve palsy, nystagmus, and confusion. An undetected internal hemorrhage would not present with the symptoms outlined.
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