ATI Care of the Critically Ill Patient Experiencing
Alcohol Withdrawal and Liver Failure, Chapter 11:
Perrin: Understanding the Essentials of Critical Care
Nursing: Chamberlain College of Nursing NR 341 (A
Graded) Latest Questions and Complete Solutions
Perrin: Understanding the Essentials of Critical Care Nursing
Chapter 11: Care of the Critically Ill Patient Experiencing Alcohol Withdrawal and Liver
Failure
MULTIPLE CHOICE.
Choose the one alternative that best completes the statement or answers the questions
1) The nurse in the ICU is caring for a- ye6ar- old male who has been drinking heavily for 3
years. She is aware of the potential for alcohol withdrawal syndrome based on the knowledge
that physiologically:
A) Alcohol is a stimulant that increases gam-mama inobutyric acid (GABA).
B) The neurotransmitters inhibit impulses on the neurons.
C) The CNS has become accustomed to the depressant effects of the alcohol and CNS
excitability develops when alcohol is no longer present.
D) The neuroreceptors in the brain can begin to initiate a chemical reaction of normalcy.
Answer: C
Explanation: A) When exposed to repeated doses of alcohol, the central nervous system (CNS)
becomes accustomed to the depressant effects of the alcohol and produces adaptive changes in an
attempt to function normally. In the absence of or with a significant decrease in the amount of
alcohol, chaos erupts within the CNS. When alcohol is no longer acting as a depressant, the
compensatory actions cause excessive CNS excitability. It is analogous to having an accelerator
without a brake. The time course of withdrawal is determined by the time it takes to restore
balance. #1 is not correct. Alcohol suppresses the production of GABA. When alcohol is
withdrawn, GABA may resume normal function which is to inhibit transmission of impulses. #2
is not correct. Neurotransmitters are usually balanced between inhibitory and stimulatory. In
the presence of alcohol, transmitters are inhibited. With the absence of alcohol, the transmitters
become stimulated. #4 is not correct. With the withdrawal of alcohol, neuroreceptors do not
regain normalcy. Instead they are prone to become overstimulated–this is due to the depressant
effect of alcohol.
Nursing Process: Evaluation Cognitive Level: Comprehension
Category of Need: Safe, Effective Management of Care
B) When exposed to repeated doses of alcohol, the central nervous system (CNS) becomes
accustomed to the depressant effects of the alcohol and produces adaptive changes in an attempt
to function normally. In the absence of or with a significant decrease in the amount of alcohol,
chaos erupts within the CNS. When alcohol is no longer acting as a depressant, the
compensatory actions cause excessive CNS excitability. It is analogous to having an accelerator
without a brake. The time course of withdrawal is determined by the time it takes to restore
balance. #1 is not correct. Alcohol suppresses the production of GABA. When alcohol is
withdrawn, GABA may resume normal function which is to inhibit transmission of impulses. #2
is not correct. Neurotransmitters are usually balanced between inhibitory and stimulatory. In
the presence of alcohol, transmitters are inhibited. With the absence of alcohol, the transmitters
become stimulated. #4 is not correct. With the withdrawal of alcohol, neuroreceptors do not
regain normalcy. Instead they are prone to become overstimulated–this is due to the depressant
effect of alcohol. Nursing Process: Evaluation
Cognitive Level: Comprehension
Category of Need: Safe, Effective Management of Care
C) When exposed to repeated doses of alcohol, the central nervous system (CNS) becomes
accustomed to the depressant effects of the alcohol and produces adaptive changes in an attempt
to function normally. In the absence of or with a significant decrease in the amount of alcohol,
chaos erupts within the CNS. When alcohol is no longer acting as a depressant, the
compensatory actions cause excessive CNS excitability. It is analogous to having an accelerator
without a brake. The time course of withdrawal is determined by the time it takes to restore
balance. #1 is not correct. Alcohol suppresses the production of GABA. When alcohol is
withdrawn, GABA may resume normal function which is to inhibit transmission of impulses. #2
is not correct. Neurotransmitters are usually balanced between inhibitory and stimulatory. In
the presence of alcohol, transmitters are inhibited. With the absence of alcohol, the transmitters
become stimulated. #4 is not correct. With the withdrawal of alcohol, neuroreceptors do not
regain normalcy. Instead they are prone to become overstimulated–this is due to the depressant
effect of alcohol. Nursing Process: Evaluation
Cognitive Level: Comprehension
Category of Need: Safe, Effective Management of Care
D) When exposed to repeated doses of alcohol, the central nervous system (CNS) becomes
accustomed to the depressant effects of the alcohol and produces adaptive changes in an attempt
to function normally. In the absence of or with a significant decrease in the amount of alcohol,
chaos erupts within the CNS. When alcohol is no longer acting as a depressant, the
compensatory actions cause excessive CNS excitability. It is analogous to having an accelerator
without a brake. The time course of withdrawal is determined by the time it takes to restore
balance. #1 is not correct. Alcohol suppresses the production of GABA. When alcohol is
withdrawn, GABA may resume normal function which is to inhibit transmission of impulses. #2
is not correct. Neurotransmitters are usually balanced between inhibitory and stimulatory. In
the presence of alcohol, transmitters are inhibited. With the absence of alcohol, the transmitters
become stimulated. #4 is not correct. With the withdrawal of alcohol, neuroreceptors do not
regain normalcy. Instead they are prone to become overstimulated–this is due to the depressant
effect of alcohol. Nursing Process: Evaluation
Cognitive Level: Comprehension
Category of Need: Safe, Effective Management of Care
Category | ATI |
Release date | 2021-09-14 |
Pages | 63 |
Language | English |
Comments | 0 |
Sales | 0 |
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