CNM Certified Nurse Midwife

Answer: D - Initiating bleeding precautions is not a priority action during the first 24 hours of treatment for alcohol abuse. Signs of alcohol withdrawal occur during this time period. The nurse has to orient the client frequently to alleviate anxiety and to reinforce reality, as hallucinations and illusions are common. Seizures may occur as the withdrawal progresses, so precautions are initiated on admission. A quiet and non-stimulating environment decreases anxiety and prevents seizures.