Question

The nurse is reviewing the plan of care for a newly admitted client who is intoxicated on admission. Which finding should the nurse include as indicators to begin implementing the detoxification medication protocol?

a. Excessive eating, constipation, headache
b. Nausea, vomiting, diaphoresis, anxiety, tremors
c. Dilated pupils, tachycardia, elevated blood pressure, elation
d. Mood lability, poor hand coordination, fever, drowsiness

Answer 1

b. Nausea, vomiting, diaphoresis, anxiety, tremors The nurse should include nausea, vomiting, diaphoresis, anxiety, and tremors as indicators to begin implementing the detoxification medication protocol for a client who was intoxicated on admission.

Step-by-step explanation:

The symptoms that indicate the need to begin a detoxification medication protocol for a client who was intoxicated on admission are:NauseaVomitingDiaphoresisAnxietyTremorsThese symptoms are consistent with acute withdrawal from substances such as alcohol and barbiturates, which can cause a variety of negative withdrawal symptoms when use of the drug is discontinued. These symptoms are often the opposite of the effects of the drug. In the case of sedatives, such as alcohol, withdrawal can cause unpleasant arousal, agitation, and physical symptoms like nausea, vomiting, and tremors. Due to potential complications, it is imperative that detoxification is medically supervised as withdrawal can be both psychologically and physiologically distressing, and in some cases life-threatening.

The nurse should include nausea, vomiting, diaphoresis, anxiety, and tremors as indicators to begin implementing the detoxification medication protocol.When a client is intoxicated on admission, these symptoms suggest that the body is experiencing alcohol withdrawal. Nausea, vomiting, diaphoresis (excessive sweating), anxiety, and tremors are common signs of alcohol withdrawal. Detoxification medication protocols are used to manage the symptoms and prevent severe withdrawal effects, such as seizures.