For a client experiencing alcohol withdrawal, the action that the nurse would include in the client's plan of care is to
a. describe how the alcohol is causing the withdrawal effects.
b. leave the client by him/herself so as not to cause agitation.
c. promote a safe, calm, and comfortable environment.
d. refer the client to an alcohol-abuse counselor.
C
The major nursing interventions for a client experiencing withdrawal focus on continuous moni-toring of clinical manifestations and promoting a safe, calm, and comfortable environment. Safety is a key concern. After the withdrawal period is over is when the nurse could provide re-ferrals or discuss the relationship of alcohol to physical problems. Do not leave the client alone as many clients will need reassurance that they will survive the ordeal of withdrawal.
You might also like to view...
Which is TRUE about survival with pancreatic cancer?
a. 50% live long term > five years c. 75% live over one year b. < 25% survive one year d. < 5% live ten years post diagnosis
An older adult who recently moved to an assisted living facility expresses concern that the apartment is not close to the emergency exit stairs. During a routine fire drill, she becomes very agitated and pushes another resident over as she quickly runs to the exit stairs. Which intervention has priority in helping the client manage these fears?
a. Providing instructions on safe procedures during a fire drill b. Establishing a supportive nurse-client relationship c. Moving the client to an apartment close to the exit stairs d. Encouraging discussions related to the factors causing the fear
A patient whose spleen is ruptured will show a positive ________ sign
a. Battle b. Gower c. Grey Turner d. Kehr
Which of the following best describes evidence-based practice?
a. Tool developed by a healthcare organization for its own use to guide best nursing practice b. An approach that uses the best scientific data to guide nursing practice c. Nurses who uses clinical judgment and expertise to guide nursing practice d. A method of practice that uses tradition and folklore interventions to guide practice