ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in the emergency department is implementing a plan of care for an older adult client who is experiencing delirium tremens. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Administer diazepam. Delirium tremens is associated with severe alcohol withdrawal and can be life-threatening. Diazepam is a benzodiazepine used to manage alcohol withdrawal symptoms by reducing agitation and preventing seizures. Administering diazepam first is crucial to stabilize the client's condition and prevent complications. Raising the side rails of the bed (
B) can be important for safety but does not address the immediate medical need. Obtaining a medical history (
C) is important for understanding the client's background but is not the priority in this acute situation. Starting intravenous fluids (
D) may be necessary to address dehydration, but managing the withdrawal symptoms with diazepam takes precedence.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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