The nurse suspects a client is experiencing alcohol withdrawal syndrome. Which action is most appropriate?

  1. record suspicions in the medical record
  2. question the family about his drinking
  3. notify the physician
  4. ask the client about his drinking
Number 4 is correct.
Rationale: In applying the nursing process, the most appropriate action is to assess the situation by interviewing the client. Recording suspicions in the medical record without further assessment would be premature. Obtaining information from the client, rather than his family, is most appropriate. Notifying the physician should occur after assessment.