A client diagnosed with alcohol use disorder is preparing for detoxification. What is an essential nursing action to reduce the risk of delirium tremens?

Rationale: A. Antipsychotics are not routinely used prophylactically to prevent delirium tremens (DTs). They are reserved for managing severe agitation or psychotic symptoms during withdrawal. Preventive use is not evidence-based and may increase the risk of adverse effects in clients with alcohol withdrawal. B. This is a critical nursing action. A history of alcohol withdrawal seizures or previous episodes of DTs significantly increases the risk for severe withdrawal complications. Identifying this risk allows the healthcare team to implement close monitoring, early pharmacologic interventions (e.g., benzodiazepines), and safety precautions to reduce the likelihood of delirium tremens and other life-threatening complications. C. While maintaining hydration is important, hydration alone is insufficient to prevent DTs. It is a supportive measure, not the primary preventive action for severe alcohol withdrawal. D. Delaying detoxification based on the client’s subjective readiness is unsafe, as withdrawal symptoms can escalate rapidly. Medically supervised detoxification should be initiated when indicated to prevent complications, regardless of the client’s perceived readiness.