A nurse is caring for an intoxicated alcoholic client admitted to the emergency department. Which of the following interventions is most important when caring for the client?
A) Touch and calm the client frequently.
B) Monitor the level of consciousness of the client.
C) Monitor the client for an increase in respiratory rate.
D) Encourage the client to watch television.
B
Feedback:
The nurse should monitor the level of consciousness of the client. The nurse should avoid touching the client, because the client may react violently to physical contact. The nurse should monitor for a decrease in respiratory rate instead of an increase in respiration. The nurse should turn off the television and provide a calm environment to the client instead of encouraging the client to watch television.
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