A hospitalized patient diagnosed with alcohol use disorder believes spiders are spinning entrapping webs in the room. The patient is fearful, agitated, and diaphoretic. Which nursing intervention is indicated?
A) Check the patient every 15 minutes
B) One-on-one supervision
C) Keep the room dimly lit
D) Force fluids

Question

Quizplus · Accepted Answer

One-on-one supervision is necessary to promote physical safety until sedation reduces the patient's feelings of terror. Checks every 15 minutes would not be sufficient to provide for safety. A dimly lit room promotes perceptual disturbances. Excessive fluid intake can cause overhydration, because fluid retention normally occurs when blood alcohol levels fall.

A Hospitalized Patient Diagnosed with Alcohol Use Disorder Believes Spiders