RN Comprehensive Predictor 2026 Proctored Exam V2
Select All That Apply
Select the 3 findings that require immediate follow-up by the nurse.
Explanation & Rationale
The client is showing signs of alcohol withdrawal delirium (delirium tremens): tremors, hallucinations (seeing mice), and worsening agitation. These are life-threatening and require immediate intervention. Vital signs must be monitored as alcohol withdrawal can cause hypertension, tachycardia, and hyperthermia. Emesis without blood, dry mucous membranes, and integumentary findings (pruritus from cirrhosis) are concerning but not the immediate priorities.
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