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Medical-Surgical Nursing:Assessment and Managementof Clinical Problems 9th Edition by Sharon Lewis,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher
Edition 9ISBN: 978-0323086783Medical-Surgical Nursing:Assessment and Managementof Clinical Problems 9th Edition by Sharon Lewis,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher
Edition 9ISBN: 978-0323086783 Exercise 24
Priority Decision: A patient in alcohol withdrawal has a nursing diagnosis of ineffective protection related to sensorimotor deficits, seizure activity, and confusion.Which nursing intervention is most important for the patient?
A) Provide a darkened, quiet environment free from external stimuli.
B) Force fluids to assist in diluting the alcohol concentration in the blood.
C) Monitor vital signs frequently to detect an extreme autonomic nervous system response.
D) Use restraints as necessary to prevent the patient from reacting violently to hallucinations.
A) Provide a darkened, quiet environment free from external stimuli.
B) Force fluids to assist in diluting the alcohol concentration in the blood.
C) Monitor vital signs frequently to detect an extreme autonomic nervous system response.
D) Use restraints as necessary to prevent the patient from reacting violently to hallucinations.
Explanation
Verified
Verified
C. An extreme autonomic nervous system r...
Medical-Surgical Nursing:Assessment and Managementof Clinical Problems 9th Edition by Sharon Lewis,Shannon Ruff Dirksen,Margaret McLean Heitkemper,Linda Bucher
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