The nurse is caring for a patient who is withdrawing from alcohol. The patient is restless and reports seeing snakes on the ceiling. Vital signs are as follows: blood pressure 180/100 mm Hg, pulse 92 beats/min, and respirations 22 breaths/min. What should the nurse do first?
A) Administer an antihypertensive agent as ordered.
B) Administer a dose of lorazepam (Ativan) .
C) Teach the patient a relaxation technique.
D) Search the patient's room for hidden alcohol.
Correct Answer:
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