The Nurse Is Caring for a Client Admitted to the Hospital

The nurse is caring for a client admitted to the hospital after an automobile accident who has a blood alcohol concentration (BAC) of 48 mmol/L (0.22 mg%) . The client is alert and does not appear highly intoxicated. Which of the following nursing actionsshould the nurse implement?

A) Maintain the client on NPO status.
B) Avoid the use of intravenous (IV) fluids.
C) Administer acetaminophen for headache.
D) Monitor frequently for anxiety, hyper-reflexia, and sweating.

Correct Answer:

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