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NCLEX RN Psychiatric Questions Questions

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Question 1 of 5

A client is experiencing alcohol withdrawal. He wakes up and screams, 'There's something crawling under my skin. Help me.' In which order, from first to last, should the following nursing actions be done?

Order the Items

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Remind the client that he is having withdrawal symptoms and that these will be treated.
Administer a dose of lorazepam (Ativan) depending on the severity of the withdrawal symptoms.
Assess the client for other withdrawal symptoms.
Take the client's vital signs.
Chart the details of the episode on the electronic health record.

Correct Answer: C, D, B, A, E

Rationale: The order is: 1) Assess for other withdrawal symptoms to understand the full clinical picture (
C). 2) Take vital signs to monitor stability (
D). 3) Administer lorazepam to manage symptoms (
B). 4) Remind the client about withdrawal symptoms to provide reassurance (
A). 5) Chart the episode for documentation (E). This prioritizes assessment, treatment, and communication.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

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Rationale:

Question 4 of 5

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Question 5 of 5

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