Which Is the Priority Nursing Intervention for a Client Admitted

question 22

Multiple Choice

Which is the priority nursing intervention for a client admitted for acute alcohol intoxication?

• A) Darken the room to reduce stimuli in order to prevent seizures.
• B) Assess aggressive behaviors in order to intervene to prevent injury to self or others.
• C) Administer lorazepam (Ativan) to reduce the rebound effects on the central nervous system.
• D) Teach the negative effects of alcohol on the body.

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Definitions:

Cardiac Muscle

A specialized form of muscle found only in the heart, characterized by its ability to contract autonomously and rhythmically.

Skeletal Muscle Fibers

Long, cylindrical cells that make up skeletal muscles, responsible for voluntary movements.

Striations

The lines or bands found in muscle tissue and certain cell structures, indicative of their molecular organization and function.

Nerve Innervation

The supply of nerves to a specific body part, enabling it to perform its physiological functions through the transmission of sensory and motor signals.