medium · NCLEX-RN psychosocial
A client, Taylor, age 52, is experiencing alcohol withdrawal. The EHR shows a heart rate of 112/min, tremors, and new visual hallucinations.
Which intervention should the nurse execute first?
- Administer the prescribed benzodiazepine using the validated severity pathway.
- Ask the family to stay with the client to provide orientation, for this client.
- Apply soft wrist restraints to prevent the client from picking at the air.
- Provide 50% dextrose intravenously for reported weakness.
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