Progressive Care Nursing Certification (PCCN) Practice Exam

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For a patient with fluctuating consciousness due to alcohol withdrawal, what nursing intervention is indicated?

Assess the need for medication adjustments
Monitor vital signs regularly
Ensure the presence of family for support
Implement continuous patient observation

The correct answer is: Ensure the presence of family for support

In the context of a patient experiencing fluctuating consciousness due to alcohol withdrawal, ensuring the presence of family for support is a critical intervention. Family support can play a vital role in the emotional and psychological stabilization of a patient going through withdrawal. The reassurance and familiarity that family members provide can help reduce anxiety and agitation often associated with withdrawal symptoms. Additionally, family involvement can encourage the patient to adhere to their treatment plan and may increase the likelihood of engagement in recovery efforts. Since alcohol withdrawal can lead to severe psychological and physiological disturbances, the presence of loved ones can serve as a source of comfort, promoting a safer healing environment. While monitoring vital signs, assessing the need for medication adjustments, and continuous patient observation are important nursing interventions in this scenario, the fundamental aspect of fluctuating consciousness and overall wellbeing is significantly enhanced by the supportive presence of family. This intervention focuses on the holistic approach to patient care, recognizing the importance of social and emotional factors in recovery from substance withdrawal.