Final answer:
The practical nurse should review the prescription for Dohenylhydramine (Bensdry) to determine the time of last administration. This medication may worsen the client's symptoms of hallucinations and should be monitored closely. The prescription for Thiamine (Vitamin B1) should also be reviewed to ensure the client is receiving this important medication.
Step-by-step explanation:
The practical nurse (PN) should review the prescription for Dohenylhydramine (Bensdry) to determine the time of last administration. Dohenylhydramine is an antihistamine medication commonly used to treat allergy symptoms, but it can also cause drowsiness. The client's complaint of bugs crawling on his body may be a hallucination due to alcohol withdrawal or delirium tremens, and antihistamines can worsen these symptoms.
The elevated blood pressure and pulse rate are also concerning and may be a result of alcohol withdrawal symptoms. The PN should monitor the client closely and report any changes in vital signs to the healthcare provider.
The prescription for Thiamine (Vitamin B1) should also be reviewed. Thiamine is often given to individuals with alcohol dependence to prevent or treat Wernicke-Korsakoff syndrome, which is characterized by neurological symptoms such as confusion, memory deficits, and ataxia. Thiamine deficiency can contribute to the development of delirium tremens, so it is important to ensure the client is receiving this medication.