VSIM: Post-Quiz: Andrew Davis
Mr. Davis has been prescribed an oral benzodiazepine to assist in managing his
withdrawal symptoms should his CIWA-Ar score rise to 8 or above. After a dose has
been administered, what assessment result, directly related to the medication, would be
a concern for the nurse? - ✔️✔️Respiratory rate of 11 breaths/minute
How can the nurse caring for Mr. Davis best provide the appropriate emotional care
during his alcohol withdrawal? - ✔️✔️Ensure that his needs are met in a
nonjudgmental manner.
Which factor is most likely to decrease the severity of Mr. Davis's alcohol withdrawal
signs and symptoms? - ✔️✔️Never experiencing alcohol withdrawal signs and
symptoms before
What characteristic behavior demonstrated by Mr. Davis is associated with Stage III
withdrawal symptoms? (Select all that apply.) - ✔️✔️- Admitting to visual hallucinations
- Disoriented by more than 2 calendar days
- Experiencing tactile disturbances
- Near continuous pacing
How should the nurse respond when asked why alcohol withdrawal and detoxification
should be managed in a hospital setting? - ✔️✔️"Alcohol withdrawal can be life-
threatening and thus requires care provided by trained staff."
Which nursing interventions are directly associated with the primary goals of the
management of a patient, like Mr. Davis, who is currently experiencing alcohol
withdrawal? (Select all that apply.) - ✔️✔️- Assess and record heart rate every 4 hours
- Implement seizure precautions
- Keep SpO2 probe at bedside
A patient with a history of chronic alcohol abuse has begun to demonstrate signs and
symptoms of delirium tremens (DTs). The nurse demonstrates an understanding of the
seriousness of the patient's risk for injury when implementing which intervention? -
✔️✔️Observing seizure precautions
Which nursing interventions would best address Mr. Davis's safety issues if his CIWA-Ar
score were to rise to 8 or above? (Select all that apply.) - ✔️✔️Assuring patient safety
is the primary nursing responsibility. With the potential for seizures, both lighting and
noise should be minimized in Mr. Davis' environment. His mental and physical state
places him at increased risk for falls and aspiration, making those interventions
Mr. Davis has been prescribed an oral benzodiazepine to assist in managing his
withdrawal symptoms should his CIWA-Ar score rise to 8 or above. After a dose has
been administered, what assessment result, directly related to the medication, would be
a concern for the nurse? - ✔️✔️Respiratory rate of 11 breaths/minute
How can the nurse caring for Mr. Davis best provide the appropriate emotional care
during his alcohol withdrawal? - ✔️✔️Ensure that his needs are met in a
nonjudgmental manner.
Which factor is most likely to decrease the severity of Mr. Davis's alcohol withdrawal
signs and symptoms? - ✔️✔️Never experiencing alcohol withdrawal signs and
symptoms before
What characteristic behavior demonstrated by Mr. Davis is associated with Stage III
withdrawal symptoms? (Select all that apply.) - ✔️✔️- Admitting to visual hallucinations
- Disoriented by more than 2 calendar days
- Experiencing tactile disturbances
- Near continuous pacing
How should the nurse respond when asked why alcohol withdrawal and detoxification
should be managed in a hospital setting? - ✔️✔️"Alcohol withdrawal can be life-
threatening and thus requires care provided by trained staff."
Which nursing interventions are directly associated with the primary goals of the
management of a patient, like Mr. Davis, who is currently experiencing alcohol
withdrawal? (Select all that apply.) - ✔️✔️- Assess and record heart rate every 4 hours
- Implement seizure precautions
- Keep SpO2 probe at bedside
A patient with a history of chronic alcohol abuse has begun to demonstrate signs and
symptoms of delirium tremens (DTs). The nurse demonstrates an understanding of the
seriousness of the patient's risk for injury when implementing which intervention? -
✔️✔️Observing seizure precautions
Which nursing interventions would best address Mr. Davis's safety issues if his CIWA-Ar
score were to rise to 8 or above? (Select all that apply.) - ✔️✔️Assuring patient safety
is the primary nursing responsibility. With the potential for seizures, both lighting and
noise should be minimized in Mr. Davis' environment. His mental and physical state
places him at increased risk for falls and aspiration, making those interventions
