The blood alcohol level of a client admitted last night with a compound fracture of the femur
sustained in a fall while intoxicated was not assessed at the time of admission. The nurse should
a. request that the blood be drawn stat for this test.
b. do nothing because the time for the assessment has passed.
c. obtain a Breathalyzer from the emergency department to assess blood alcohol
level.
d. ask the client about quantity and frequency of recent drinking and when she had
her last drink.
D
These questions allow the nurse to gain vital information about the likelihood of withdrawal
symptoms occurring and the general time of their onset. The blood alcohol level at the time of
admission is useful for assessment purposes but is not a necessity. Options A and C: Information
relevant for planning can be obtained with option D. Option B is not the best solution. Ascertaining
if and when withdrawal symptoms may appear is important.
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