Difficulty: Medium
Average Score: 86%
Simulated
A client is experiencing alcohol withdrawal. He wakes up and screams, 'There's something crawling under my skin. Help me.' In which order, from first to last, should the following nursing actions be done?
Correct answer
C, D, B, A, E
Rationale
The order is: 1) Assess for other withdrawal symptoms to understand the full clinical picture (C). 2) Take vital signs to monitor stability (D). 3) Administer lorazepam to manage symptoms (B). 4) Remind the client about withdrawal symptoms to provide reassurance (A). 5) Chart the episode for documentation (E). This prioritizes assessment, treatment, and communication.