The nurse is caring for a patient who is experiencing alcohol withdrawal. What is the highest priority for this patient?
a. Describe how the alcohol is causing the withdrawal effects.
b. Leave the patient by him/herself so as not to cause agitation.
c. Promote a safe, calm, and comfortable environment.
d. Refer the patient to an alcohol-abuse counselor.
ANS: C
The main priority is the patient's safety due to risk of harm from seizures, DTs, and anxiety. The nurse could provide referrals or discuss the relationship of alcohol to physical problems after the withdrawal period is over. Do not leave the patient alone, as many patients will need reassurance that they will survive the ordeal of withdrawal.
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