PM
ALCOHOL WITHDRAWAL NGN CASE STUDY EXAM QUESTIONS
AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
GRADED A++
Jon G., a 49-year-old man, was assessed
in the emergency department (ED) 4
days ago' He was diagnosed with
alcohol
intoxication and released after 8 hours
to his brother's care. He was
readmitted to the ED 12 hours ago with a
gastrointestinal (GI) bleed and is being
transferred to the
intensive care unit (ICU). His diagnosis is
upper GI bleed and alcohol
intoxication.You are assigned to Jon for
the remainder of your shift. According to
the ED notes, his admission vital signs
were 84/56, 110, 26, and he was vomiting
bright red blood. He was given IV fluids
and transfused 6 units of packed red
blood cells (PRBCs) in the ED. On initial
assessment, you note that Jon's VS are
102.2° F (39°C), 174/98, 110, 24. He is alert
and oriented and walking around in his
room. He has a slight tremor in his hands,
is diaphoretic, and he appears anxious.
He reports a headache and appears
flushed. He has an audible wheeze. His
abdomen is softly distended. No report of
vomiting, frank red blood or melena in
the stools, according to the chart, for
the past 5
hours. In response to your questions, Jon
denies he has an alcohol problem but
later on admits to drinking approximately
a fifth of vodka daily for the past 2
months. He admits to having seizures
while withdrawing from alcohol in the
past. He tells you that he "just can't help it"
and has strong urges to drink, but that he
never means "to drink very much." He
has had trouble keeping a job over the
past
several months.
1. Which data from your assessment Elevated Temp, BP, and Heart Rate
indicates that Jon is going through alcohol Diaphoretic
withdrawal? Anxious
Tremor
Elevated Temp, BP, and Heart Rate
Alert and Oriented
Diaphoretic
Anxious
Audible
wheeze
Tremor
Softly distended abdomen
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