Difficulty: Medium
Average Score: 87%
Simulated
Two days after being admitted with alcohol withdrawal, a client has constant liquid stools and abdominal cramping. The emesis and stool are hemoccult positive. The client is confused and refusing to take oral medication. Which action should the nurse implement first?
Correct answer
C
Rationale
Inserting an IV catheter allows for fluid and electrolyte replacement and medication administration, addressing the client's immediate needs due to dehydration and refusal of oral intake. Other actions are less urgent.