Ati Rn Comprehensive Online Practice 2023 A Already Passed

A nurse is caring for a client in the emergency department (ED). 0600: Client presents with acute altered mental status. Client has a history of frequent ED visits for alcohol intoxication. Client states that they had an episode of binge drinking yesterday afternoon. Client awoke this morning on the living room floor trembling and flushed; remembers having intense dreams and was afraid they had a seizure so they called a family member to bring them to the ED. Client reports their average alcohol intake has been "two or three beers" after work each day and "more on the weekends" for the past 6 months. Client reports headache, nausea, agitation, and is noted to be diaphoretic. 0800: Client states "I've got bugs crawling on me. Get them off me!" Client tremulous and diaphoretic. History and Physical: Alcohol use disorder Delirium tremens Nicotine use disorder Hypertension, diet and exercise controlled. Vital Signs 0 {Ans: } a. Initiate seizure precautions c. Perform a Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) d. Administer chlordiazepoxide e. Maintain a low-stimulation environment f. Administer thiaminean RN is observing a licensed practical nurse LPN and an assistive personnel AP move a client up in bed. for which of