NCLEX-PN Practice Q 53

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A client is admitted to the emergency room with symptoms of delirium tremens. After admitting the client to a private room, a priority nursing intervention is to:

  

     A. Obtain a history of his alcohol use

     B. Provide seizure precautions

     C. Keep the room cool and dark

     D. Administer thiamine and zinc

    

    

Correct Answer: B. Provide seizure precautions

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Option B: Delirium tremens is a severe form of alcohol withdrawal that is manifested after prolonged periods of heavy drinking. Withdrawal seizures may happen within 6 to 48 hours of alcohol cessation, therefore, the nurse should provide seizure precautions.

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Option A: Obtaining a history of alcohol use is not a priority in the client’s care.

Option C: The client should be kept in a dimly lit, not dark, room.

Option D: Thiamine and multivitamins are given to prevent Wernicke’s encephalopathy, not delirium tremens.

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