An older adult patient is currently undergoing detoxification for alcohol at a rehabilitation center.When assessing the patient using the Clinical Institute Withdrawal Assessment tool,the nurse determines the patient's current score to be 23.What action by the nurse is best?

Question

Quizplus · Accepted Answer

A score of 23 on the Clinical Institute Withdrawal Assessment tool indicates severe withdrawal symptoms and requires prompt medical attention. The patient needs to be transferred to an acute care hospital where they can receive appropriate medical care and monitoring during detoxification. Seizure precautions should also be taken during transfer. Monitoring vital signs every 2 hours is not sufficient for a patient with severe withdrawal symptoms. Sharing with the patient that the detoxification process is almost complete is not appropriate at this time because the patient requires immediate medical attention for their severe symptoms.

An Older Adult Patient Is Currently Undergoing Detoxification for Alcohol