The emergency department nurse is caring for an intoxicated alcoholic client who needs stitches following a motor vehicle accident. Which of the following is an appropriate nursing intervention for this client?

A) Use restraints if the client is combative.
B) Touch the client often to reassure him or her.
C) Give the client some alone time to stabilize emotionally.
D) Remember that an injury can precipitate withdrawal symptoms.


D
Feedback:
The nurse should keep in mind that an injury, accident, surgery, or delivery can precipitate withdrawal symptoms. The nurse should not use any type of restraint, unless absolutely necessary. The person may become more frightened and may be injured while fighting a restraint. The nurse should not touch the client unless absolutely necessary because he or she may misperceive and react violently. The nurse should also remain with the client at all times.

Nursing

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