NCLEX-RN

Category - Psychosocial

When managing a client with alcohol toxicity, the nurse should anticipate the onset of withdrawal 24 to 48 hours after the blood alcohol level drops. The nurse should expect which group of symptoms during the withdrawal stage?
  1. Sleepiness, voracious appetite, depression
  2. Seizures, delirium, hypotension and hypothermia
  3. Nausea, vomiting, diarrhea and yawning
  4. Hypertension, tachycardia, nausea and vomiting
Explanation
Answer: D - The rebound effects of alcohol, a sedative, are the following: increase in blood pressure, increased heart rate, increased temperature, and nausea and vomiting. Seizures and delirium occur during the late stage of alcohol withdrawal - at this stage the client could die. Option A is commonly seen in clients with cocaine withdrawal. Yawning is typical in heroin withdrawal.
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