Substance Abuse, Eating Disorders, Impulse Control Disorders no. 5096
QUESTION: A client is receiving chlordiazepoxide (Librium) to control the symptoms of alcohol withdrawal. The chlordiazepoxide has been ordered as needed. Which symptom may indicate the need for an additional dose of this medication? Select all that apply:
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O a.)Tachycardia
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O b.) Mood swings
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O c.)Elevated blood pressure and temperature
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O d.)Piloerection
Tremors
Increasing anxiety
RATIONALE
RATIONALE: Benzodiazepines are usually administered based on elevations in heart rate, blood pressure, and temperature as well as on the presence of tremors and increasing anxiety. Mood swings are expected during the withdrawal period and aren't an indication for further medication administration. Piloerection isn't a symptom of alcohol withdrawal.
NURSING PROCESS STEP: Evaluation
CLIENT NEEDS CATEGORY: Physiological integrity
CLIENT NEEDS SUBCATEGORY: Pharmacological and parenteral therapies
COGNITIVE LEVEL: Analysis
