On assessing a young adult client who is admitted after a suicide attempt and also has a habitual drug-abuse problem, you note that this client is agitated, restless, and sweating, and has obviously begun withdrawal
You note that the client refused medication when the staff tried to administer it in the emergency department. Under the circumstances, what is the next thing you will do? a. Explain to the client that he or she must take the medication because the provider ordered it.
b. Make sure the room is quiet with subdued lighting and that there are blankets if needed.
c. Talk with the client about the impending discomfort and potential hazards of withdrawal.
d. Get an order for restraints so the client will be protected and you can administer the medication.
B
If a client, with a history of a drug abuse problem, is admitted after a suicide attempt and is refusing medications, the most appropriate intervention by the nurse is to make sure the room is quiet with subdued lighting and that there are blankets if needed. The client has the right to refuse the medication. By making sure the room is quiet and providing a blanket, the nurse is addressing the complications of the drug withdrawal. The subdued lighting will reduce unnecessary environmental stimulation and the blanket can be used if the client becomes chilled because of the excess sweating.
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