A nurse in an acute care facility is planning care for a client with a history of alcohol use disorder who is admitted while intoxicated. Which of the following interventions should the nurse implement?

Choice A reason:
Asking the client "Why do you think this has happened?" may lead to self-blame or speculation that is not beneficial for coping. It does not provide insight into the client's current coping mechanisms or emotional state regarding their condition.

Choice B reason:
The question "Are you okay with not being able to do some things you used to do?" could be perceived as insensitive. It might imply that the client should be accepting of their loss of function, which can be a difficult and emotional process. This question does not directly assess the client's coping strategies.

Choice C reason:
Inquiring if someone is available to assist with hygiene addresses the client's support system but does not directly assess their coping ability. While support is important for coping, the question does not explore the client's emotional or psychological adaptation to their condition.

Choice D reason:
"How has this impacted your life?" is the most comprehensive question to assess coping. It invites the client to share their experiences and feelings about the changes they are facing. This open-ended question allows the nurse to gauge the client's emotional response, adaptation, and resilience since the stroke.

Choice A reason:
Implementing seizure precautions is a critical intervention for a client with a history of alcohol use disorder who is admitted while intoxicated. Alcohol withdrawal can lead to seizures, which can be life-threatening. Seizure precautions include maintaining a safe environment, having emergency medication and equipment ready, and monitoring the client closely for signs of seizure activity.

Choice B reason:
Monitoring for orthostatic hypotension is important, especially if the client is experiencing withdrawal symptoms, as dehydration and electrolyte imbalances can occur. However, it is not as immediately critical as implementing seizure precautions for a client who is currently intoxicated.

Choice C reason:
Administering methadone hydrochloride is not an appropriate intervention for alcohol intoxication or withdrawal. Methadone is used for opioid use disorder, not alcohol use disorder, and could be harmful if given to a client with alcohol intoxication.

Choice D reason:
Acidifying the client's urine is not a standard intervention for alcohol intoxication or withdrawal. This intervention is more commonly associated with managing certain drug overdoses or poisonings to increase the elimination of the substance.