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    Ati lpn mental health level 4 proctored exam

    A nurse in an addiction rehabilitation center is contributing to the plan of care for a newly admitted client who has alcohol use disorder. Which of the following interventions is the nurse's priority?

    Explanation & Rationale

    A. Place the client in a private room: While privacy can be helpful, it is not the priority intervention in alcohol withdrawal care. B. Pad the side rails of the bed with towels: This is a safety measure to prevent injury during seizures but should follow the assessment of disorientation. C. Accompany the client when ambulating: Fall prevention is important, but assessing the client’s level of disorientation takes precedence. D. Determine the client's level of disorientation: The first step in care is assessing the client's mental status and level of disorientation to identify immediate needs and risks.

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