Nursing care for the substance abuse client experiencing alcohol withd

NCLEX RN Practice Questions Free

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Question 1 of 5.

Nursing care for the substance abuse client experiencing alcohol withdrawal delirium includes:

A. Maintaining seizure precautions

B. Restricting fluid intake

C. Increasing sensory stimuli

D. Applying ankle and wrist restraints

Explanation: These clients are at high risk for seizures during the 1st week after cessation of alcohol intake. Fluid intake should be increased to prevent dehydration. Environmental stimuli should be decreased to prevent precipitation of seizures. Application of restraints may cause the client to increase his or her physical activity and may eventually lead to exhaustion.

Question 2 of 5.

A client is admitted with disseminated herpes zoster (shingles). According to the Centers for Disease Control Guidelines for Infection Control:

A. Airborne precautions will be needed.

B. No special precautions will be needed.

C. Only contact precautions will be needed.

D. Droplet precautions will be needed.

Explanation: Disseminated herpes zoster requires airborne precautions because the varicella-zoster virus can spread through respiratory droplets in immunocompromised patients.

Question 3 of 5.

The nurse is caring for an adolescent with a five-year history of bulimia. A common clinical finding in the client with bulimia is:

A. Extreme weight loss

B. Dental caries

C. Hair loss

D. Decreased temperature

Explanation: Frequent vomiting in bulimia exposes teeth to stomach acid, leading to dental caries (tooth decay), a common clinical finding.

Question 4 of 5.

The nurse is providing dietary teaching for a client with hypertension. Which food should be avoided by the client on a sodium-restricted diet?

A. Dried beans

B. Swiss cheese

C. Peanut butter

D. Colby cheese

Explanation: Colby cheese is high in sodium, which should be avoided on a sodium-restricted diet to manage hypertension, unlike the other options, which are lower in sodium.

Question 5 of 5.

The nurse caring for a client with closed chest drainage notes that the collection chamber is full.

A. Add more water to the suction-control chamber.

B. Remove the drainage using a 60 mL syringe.

C. Milk the tubing to facilitate drainage.

D. Prepare a new unit for continuing collection.

Explanation: A full collection chamber requires replacing the chest drainage unit to maintain effective drainage and prevent complications like tension pneumothorax.

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