A client who was admitted 2 days ago for assessment after a fall in his home has become increasingly irritable and now says there are bugs on his bed. He is diaphoretic and has a blood pressure of (200/136)mm Hg. The nurse assesses
A) alcohol-induced psychosis.
B) delirium tremens.
C) neurologic injury related to the fall.
D) post-traumatic stress reaction.

Question

Quizplus · Accepted Answer

During the 2 days after cessation of alcohol use, clients may experience delirium tremens (DTs), as evidenced by disorientation, nightmares, abdominal pain, nausea, and diaphoresis, as well as elevated temperature, pulse rate, and blood pressure measurement and visual and auditory hallucinations.

A Client Who Was Admitted 2 Days Ago for Assessment