An Older Adult Client Is Currently Undergoing Detoxification for Alcohol

An older adult client is currently undergoing detoxification for alcohol at a rehabilitation center.When assessing the client using the Clinical Institute Withdrawal Assessment tool the nurse determines the client's current score to be 23.The nurse:

A) immediately institutes seizure precautions.
B) monitors the client's vital signs every 2 hours.
C) arranges for the client to be transferred to an acute care hospital.
D) shares with the client that the detoxification process is almost complete.