Substance Use And Withdrawal Care Practice Test

A 50-year-old client admitted for surgery has a history of alcohol use disorder and last drank 36 hours ago. The client is confused, has severe tremors, and is pulling at intravenous lines; vital signs: temperature 38.1°C (100.6°F), heart rate 134/min, blood pressure 190/112 mm Hg, respiratory rate 28/min; mental status: disoriented with visual hallucinations; labs: potassium 3.0 mEq/L (normal 3.5–5.0). Which intervention should the nurse implement IMMEDIATELY?

A 40-year-old client admitted for abdominal pain has a history of alcohol use disorder and last drank 6 hours ago. The client is anxious with mild tremors; vital signs: heart rate 102/min, blood pressure 150/86 mm Hg; mental status: oriented; labs: glucose 56 mg/dL (normal 70–110). Which assessment finding requires IMMEDIATE attention?