The emergency room nurse is caring for a client who has been arrested after a serious automobile accident and charged with driving while intoxicated. The nurse learns from the client's spouse that this client has had blackouts in the past
From this information, the nurse knows that the client MOST likely: a. has a history of loss of consciousness from alcohol
b. may have a neurological disorder
c. may not have a history of alcohol abuse
d. is not likely to go through withdrawal
A
Based on the information gathered, the nurse knows that the client most likely has a history of loss of consciousness from alcohol. As part of her assessment, the nurse is gathering information from multiple sources, rather than just the client and his medical records. In this case, the nurse is basing the assessment on information gathered from criminal justice personnel (regarding the nature of his arrest) as well as a family member (regarding his history of blackouts).
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