The Nursing Intervention of Highest Priority Relative to Alcohol Withdrawal

question 15

Multiple Choice

The nursing intervention of highest priority relative to alcohol withdrawal delirium is:

• A) application of restraints.
• B) reorientation of the patient to reality.
• C) identification of existing social supports.
• D) maintenance of fluid and electrolyte balance.

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Definitions:

Virchow's Triad

A set of three factors (venous stasis, hypercoagulability, and endothelial damage) contributing to the formation of blood clots.

Deep Vein Thrombosis

A blood clot that forms in a deep vein, usually in the legs, potentially leading to serious complications if not treated.

Alterations In Blood Constituents

Any changes or abnormalities in the components of blood, such as red blood cells, white blood cells, platelets, or plasma.

Muscle Endurance

The ability of a muscle or group of muscles to perform repetitive contractions over a period of time without becoming exhausted.