When a client presents with a combative behavior due to substance use, what is the nurse’s priority action?

In situations where a client exhibits combative behavior due to substance use, the nurse's priority action should be to complete a thorough assessment. This approach is crucial because it allows the nurse to gather essential information about the client's condition, which could include the type and amount of substance used, any underlying medical issues, and the extent of their behavioral changes. Understanding the specific circumstances of the client's behavior helps in determining the safest and most effective interventions.

A comprehensive assessment ensures that the nurse is equipped to identify potential risks, including harm to the client or others, and to tailor an appropriate care plan. It provides a foundation for evaluating whether immediate sedation or intervention is necessary and assists in making informed decisions about calling for additional support, such as family members or addiction services. By focusing on assessment first, the nurse can implement the safest care strategies, prioritize the client's physical and emotional well-being, and effectively collaborate with other healthcare professionals as needed.