[Expert Solution]: Case Study Kathy READ Kathy is a…

Case Study Kathy READ Kathy is a 61-year-old who is being admitted to a detoxification unit for long-term heavy alcohol use. Although she is technically a voluntary admission, the court gave her the choice of either inpatient detoxification or jail for driving while intoxicated. She is agitated and reports having “pins and needles” sensations and weakness in her lower extremities. She bounces her foot and knee constantly. The nurse has to repeat most questions. At one point she says, “You know, I would like to be free of this. I have a grandson now. I wish I could do it for him.” She starts to cry. “I’ve tried to quit drinking before. I wish I could, but it can’t. I’m useless to everyone! All the women in my mom’s family are drunks.” Kathy reports muscle weakness. She has had multiple treatments for major depressive disorder. The nursing assessment is cut short as Kathy’s agitation increases. She vomits during the interview and becomes confused. As she is helped to a bed, she calls out loudly, holding onto the nurse and begging “…please put me on Prozac. Please! They’ve given me that before for my depression, and honey, I am so depressed right now!” She protests when her cough medicine is taken away, grabbing for it and crying, “I have allergies. I need my cough medicine. Please! I was in jail late last night and in court all morning and haven’t had a drink in maybe 8 hours. I’m coming down off of something big!” She becomes incoherent with garbled speech. Bedside vitals show elevated pulse, systolic and diastolic blood pressure, and body temperature. She pushes the nurse away from her. ANSWER Choose the most likely options to complete the following statement. 1. Based on the patient’s current condition, the priority need will be to address the assessment findings indicating ____1_____. Afterward, interventions should address ____2______ and ___3 ______. Options for 1Options for 2Options for 3a. Allergiesa. Family dysfunctiona. Allergiesb. Risk for suicideb. Risk for suicideb. Intravenous drug usec. Alcohol withdrawalc. Admission statusc. Alcohol withdrawald. Prozac withdrawald. Prozac withdrawald. Low blood pressuree. Muscle weaknesse. Potential infant abusee. Muscle weakness 2. Once the patient’s withdrawal is stabilized, which intervention will the nurse provide? Select all that apply. Reintroduce healthy food and hydration Discourage exploration of harmful thoughts Remind that relapses demonstrate lack of character Teach that cough medication is to be avoided Promote sleep and rest Teach about addiction being a brain disorder Scenario #2: A 54-year-old client with a 30+ year history of alcohol abuse is admitted with a fall-related left femur fracture. The client reports, “I was drinking with some buddies when I fell down the steps.” 3. Indicate which potential intervention is associated with the typical time frame for the initial development of specific alcohol withdrawal signs/symptoms. All assessment findings should be used, and some may be used more than once. Interventions6-8 hours after last alcoholic drink8-10 hours after last alcoholic drink Administer chlordiazepoxide as prescribedSeizure precautionsAdminister prescribed lorazepam as neededMonitor blood pressure (BP)Assess disorientation Observe presence of “shakes”Monitor Heart Rate (HR)Monitor for delusional thinking Monitor for nausea and vomiting