Moderate

A patient in alcohol withdrawal is receiving benzodiazepine treatment. Which finding requires the nurse to report immediately?

Correct answer: C. Respiratory rate of 8 per minute

  • A. Mild hand tremor
  • B. Moderate anxiety
  • C. Respiratory rate of 8 per minute
  • D. Reduced appetite at breakfast

Explanation

A respiratory rate of 8 per minute suggests dangerous central nervous system depression, possibly from benzodiazepine treatment, and threatens breathing. Mild tremor, anxiety, and poor appetite can occur during withdrawal but are not the most immediate threat.

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Psychiatric emergencies include suicidal behavior, homicide risk, severe agitation, panic, acute psychosis, delirium, overdose, and withdrawal states. Students examine rapid risk assessment, crisis intervention, de-escalation, environmental safety, emergency medication, observation levels, and the immediate priorities that differ from routine psychiatric nursing care.

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