Difficulty: Medium
Average Score: 91%
Simulated
A nurse is caring for a client who is experiencing acute alcohol toxicity. Which of the following actions should the nurse include in the plan?
Correct answer
C
Rationale
The correct answer is C: Measure the client's urine specific gravity. This is important to monitor hydration status and kidney function in a client with acute alcohol toxicity. High specific gravity indicates dehydration, while low specific gravity may indicate overhydration or impaired kidney function. Administering a stimulant (A) can worsen the client's condition by increasing heart rate and blood pressure. Administering a diuretic (B) may further dehydrate the client. Inserting an NG tube (D) is not indicated unless the client is at risk for aspiration.