Registered Practical Nurse (RPN) Practice Test

What is the priority nursing intervention for a patient withdrawing from alcohol?

1. Monitoring for elevated blood pressure

2. Observing for seizures

3. Providing nutritional support

4. Encouraging participation in group therapy

The correct answer is: Observing for seizures

When a patient is withdrawing from alcohol, one of the most critical nursing interventions is to observe for seizures. Alcohol withdrawal can lead to a range of symptoms, including seizures, which can occur as early as 6 to 48 hours after the last drink. The risk of seizures is significant, especially in individuals with a history of severe withdrawal or those who have previously experienced withdrawal seizures. Monitoring for seizures is crucial because they can have serious consequences, including status epilepticus, which can be life-threatening. By closely observing the patient, nurses can implement immediate interventions if seizures occur, such as administering benzodiazepines or other anticonvulsant medications as per protocol, and ensuring patient safety during any seizure activity. While monitoring vitals like blood pressure is important, elevated blood pressure alone is not as immediate a concern as the potential for seizures in this scenario. Providing nutritional support and encouraging participation in therapy are essential aspects of holistic care, but they do not address the urgent need for seizure prevention and management during the acute withdrawal phase. Thus, the priority remains in observing for signs of seizures to ensure the patient's safety and well-being.