A nurse in an emergency department is caring for a client who is experiencing acute alcohol withdrawal. Which of the following actions should the nurse take first?

Choice A reason: Collecting a blood specimen can help evaluate electrolyte levels, liver function, or alcohol levels, which is important in managing alcohol withdrawal. However, it is not the immediate priority, as addressing life-threatening risks like seizures takes precedence in the acute phase. Choice B reason: Acute alcohol withdrawal carries a high risk of seizures, which can be life-threatening. Implementing seizure precautions, such as padding the environment and ensuring access to emergency medications, is the first priority to ensure the client’s safety. Choice C reason: A neurological exam is useful to assess the client’s mental status and neurological function during withdrawal. However, it is not the first action, as preventing seizures, which pose an immediate danger, is more urgent. Choice D reason: Inserting an IV access site is necessary for administering fluids or medications like benzodiazepines to manage withdrawal symptoms. However, ensuring seizure precautions are in place is the first step to address immediate safety risks.