The nurse is caring for a client who presented to the ED with a blood alcohol level of 208 mg/dL. The client states that his last drink was about 8 hours ago. He exhibits coarse tremors of the hands, anxiety, and elevated blood pressure. Which of the following would the nurse expect if his condition progresses to withdrawal delirium?
onset of delirium 12 to 24 hours after the last drink
onset of delirium 48 to 72 hours after the last drink
disorientation and fluctuating levels of consciousness
Numbers 1, 5, and 6 are correct.
Rationale: Clients with delirium develop fever and other manifestations of delirium within 48 to 72 hours after the last drink. Disorientation and fluctuating levels of consciousness are common. Other signs in the delirium stage include anorexia and insomnia.
