What should the nurse prioritize when assessing a client with a history of substance abuse?

When assessing a client with a history of substance abuse, prioritizing the risk of withdrawal symptoms is crucial. Withdrawal symptoms can manifest physically and psychologically and may pose serious health risks if not addressed promptly. These symptoms can vary depending on the substance the client is dependent on and can include anxiety, sweating, tremors, nausea, seizures, or even delirium tremens in severe cases.

Identifying the risk of withdrawal allows the nurse to implement necessary interventions to manage symptoms and ensure the client's safety. Early recognition and management of withdrawal can significantly affect the overall outcome of the client's treatment and recovery process.

While physical health assessment, psychological support needs, and medication compliance are also important aspects to consider in the comprehensive care of a client with substance abuse issues, they come after addressing immediate concerns related to withdrawal. By focusing initially on withdrawal risk, the nurse can provide timely support and resources that will help stabilize the client and create a more conducive environment for broader health assessments and psychological support in subsequent steps.