Final answer:
During the detoxification phase of acute alcohol withdrawal, the nurse should anticipate the need to check on the client frequently, keep the client's room lights dim, and address the client in a calm and soothing tone. Restraining the client during periods of agitation is not recommended.
Step-by-step explanation:
During the detoxification phase of acute alcohol withdrawal, the nurse should anticipate the need to check on the client frequently. This is important because the withdrawal process can be unpredictable, and close monitoring is necessary to ensure the client's safety. By checking on the client frequently, the nurse can assess their symptoms, vital signs, and level of agitation, and provide appropriate interventions.
Keeping the client's room lights dim is also important during the detoxification phase. Bright lights can exacerbate the client's discomfort and sensory overload, potentially leading to increased agitation and anxiety. Dim lighting helps create a calm environment that promotes relaxation and healing.
Addressing the client in a loud, clear voice is not necessary during the detoxification phase of acute alcohol withdrawal. The client may already be experiencing sensitivity to loud noises, and speaking in a loud voice may further agitate them. Instead, the nurse should use a calm and soothing tone to communicate with the client.
Restraining the client during periods of agitation is not an appropriate intervention. Restraining can escalate the client's distress and increase the risk of physical harm. Instead, the focus should be on providing a safe environment, using non-confrontational techniques to de-escalate agitation, and utilizing medications as prescribed by the healthcare provider.