The nurse is caring for an alcoholic admitted to the hospital who is in unmanaged withdrawal. Which of the following is a nursing consideration for this client?
A) Remember that acute detoxification is usually completed in 24 hours.
B) Watch for acute detoxification beginning within 36 hours of last ingestion.
C) Follow suicide precautions because suicide risk increases during detoxification.
D) Keep the client NPO for the first 48 hours to avoid refeeding syndrome.
C
Feedback:
Suicide risk increases during detoxification and the nurse should follow suicide precautions. Acute detoxification is usually completed in 3 to 7 days; milder symptoms, 10 days or more. Acute detoxification usually begins within 96 hours of last ingestion. The nurse should encourage food and fluids; monitor intake and output, and administer vitamins, as ordered, to avoid refeeding syndrome.
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