Moderate

A patient who has been taking high-dose diazepam stops it suddenly and becomes anxious, tremulous, and confused. Which nursing action is the priority?

Correct answer: A. Institute seizure precautions and notify the prescriber

  • A. Institute seizure precautions and notify the prescriber
  • B. Encourage vigorous exercise to reduce anxiety
  • C. Place the patient alone in a dark room
  • D. Administer the next dose only after symptoms settle

Explanation

Abrupt benzodiazepine withdrawal can cause seizures, delirium, and severe autonomic symptoms. Seizure precautions and urgent medical review are safer than delaying treatment or using environmental measures alone.

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About Psychiatric Emergencies

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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