Crucial Exams

NCLEX RN Practice Question

You are caring for a client admitted to the medical-surgical unit with a suspected alcohol use disorder. The client has tremors, agitation, a blood pressure of 170/92 mmHg, and complaints of nausea and headache. What is the nurse's priority intervention based on the current observations?

  • Place the client on fluid restriction to prevent overhydration

  • Encourage the client to drink fluids to reduce dehydration

  • Reorient the client to their surroundings to reduce agitation

  • Administer prescribed benzodiazepines for symptom management

NCLEX RN
Psychosocial Integrity
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