hard · NCLEX-RN Psychosocial Integrity

A client, Case ID: PSY-99-01, was admitted 48 hours ago for a fractured femur and has a history of chronic alcohol use. The nurse notes the client is now agitated, with hand tremors and a BP of 162/98 mm Hg. Which interventions are appropriate to include in the immediate plan of care? Select all that apply.

  1. Initiate seizure precautions including suction and oxygen at the bedside.
  2. Administer prescribed diazepam based on the Clinical Institute Withdrawal Assessment (CIWA-Ar) score.
  3. Apply soft wrist restraints to prevent the client from removing the IV line.
  4. Place the client in a well-lit, high-stimulation room to maintain orientation.
  5. Provide high-caloric oral glucose supplements before administering thiamine.

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