Nursing care for the substance abuse client experiencing alcohol withdrawal delirium includes:
A . Maintaining seizure precautions
B . Restricting fluid intake
C . Increasing sensory stimuli
D . Applying ankle and wrist restraints
(A) These clients are at high risk for seizures during the 1st week after cessation of alcohol intake.
(B) Fluid intake should be increased to prevent dehydration.
(C) Environmental stimuli should be decreased to prevent precipitation of seizures.
(D) Application of restraints may cause the client to increase his or her physical activity and may eventually lead to exhaustion.