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)
A. implement seizure precautions
B. assess and record heart rate every 4 hours
C. keep SpO2 probe at bedside
D. provide information regarding AA support groups
E. identifying triggers for alcohol consumption - ✔️✔️A, B, C
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?
A. orienting for time, place and person as needed
B. assessing for auditory and visual hallucinations frequently
C. observing seizure precautions
D. restricting patient to the room - ✔️✔️C
Which nursing interventions would best assess Mr. Davis's safety issues if his CIWA-Ar
score were to rise to 8 or above? (select all that apply)
A. minimize all sources of noise in his room
B. dim the lighting in his room
C. suction equipment is kept at the bedside
D. institute falls precautions
E. provide him with high protein, low fat meals - ✔️✔️A, B, C, D
How can the nurse caring for Mr. Davis best provide the appropriate emotional care
during his alcohol withdrawal?
A. remind him frequently that the signs and symptoms will lessen in severity
B. ensure that his needs are met in a nonjudgmental manner
C. assure him that the withdrawal process generally lasts no more than 96 hours
D. encourage his family to spend time at his bedside - ✔️✔️B
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 had
been administered, what assessment result, directly related to the medication, would be
a concern for the nurse?
A. patient reports ringing in his ears