A nurse in an acute care facility is planning care for a client with a history of alcohol use disorder who is admitted while intoxicated. Which of the following interventions should the nurse implement?
Explanation & Rationale
Choice A reason: Implementing seizure precautions is a critical intervention for a client with a history of alcohol use disorder who is admitted while intoxicated. Alcohol withdrawal can lead to seizures, which can be life-threatening. Seizure precautions include maintaining a safe environment, having emergency medication and equipment ready, and monitoring the client closely for signs of seizure activity. Choice B reason: Monitoring for orthostatic hypotension is important, especially if the client is experiencing withdrawal symptoms, as dehydration and electrolyte imbalances can occur. However, it is not as immediately critical as implementing seizure precautions for a client who is currently intoxicated. Choice C reason: Administering methadone hydrochloride is not an appropriate intervention for alcohol intoxication or withdrawal. Methadone is used for opioid use disorder, not alcohol use disorder, and could be harmful if given to a client with alcohol intoxication. Choice D reason: Acidifying the client's urine is not a standard intervention for alcohol intoxication or withdrawal. This intervention is more commonly associated with managing certain drug overdoses or poisonings to increase the elimination of the substance.