NCLEX-RN · Question #5
Nursing care for the substance abuse client experiencing alcohol withdrawal delirium includes:
The correct answer is A. Maintaining seizure precautions. (A) These clients are at high risk for seizures during the 1st week after cessation of alcohol (B) Fluid intake should be increased to prevent dehydration. (C) Environmental stimuli should be decreased to prevent precipitation of seizures. (D) Application of restraints may…
Question
Nursing care for the substance abuse client experiencing alcohol withdrawal delirium includes:
Options
- AMaintaining seizure precautions
- BRestricting fluid intake
- CIncreasing sensory stimuli
- DApplying ankle and wrist restraints
How the community answered
(49 responses)- A78% (38)
- B6% (3)
- C2% (1)
- D14% (7)
Explanation
(A) These clients are at high risk for seizures during the 1st week after cessation of alcohol (B) Fluid intake should be increased to prevent dehydration. (C) Environmental stimuli should be decreased to prevent precipitation of seizures. (D) Application of restraints may cause the client to increase his or her physical activity and may eventually lead to exhaustion.
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