A nurse in a mental health facility is admitting a client. Exhibits A nurse is caring for a client who is at risk for alcohol withdrawal. Click to highlight the manifestations of alcohol withdrawal that would require immediate follow-up by the nurse. To deselect a finding, click on the finding again. Body system Findings Neurological Impaired cognition Insomnia Seizures Cardiovascular Increased blood pressure Increased heart rate Diaphoresis Gastrointestinal Lack of appetite Vomiting Musculoskeletal Tremulousness Malaise

Seizures: Seizures are a potentially life-threatening complication of alcohol withdrawal, particularly in the early stages (usually within 12 to 48 hours after the last drink). They require immediate medical intervention, as they can lead to further complications such as status epilepticus, which can be fatal if not treated promptly. Increased blood pressure: Alcohol withdrawal can lead to sympathetic nervous system hyperactivity, which causes an increase in blood pressure. This increase in blood pressure, if severe, can lead to complications such as stroke, cardiac events, or organ damage, thus requiring immediate monitoring and treatment. Increased heart rate: Tachycardia (elevated heart rate) is another sign of alcohol withdrawal and results from the activation of the sympathetic nervous system. Similar to increased blood pressure, an increased heart rate can contribute to cardiovascular strain and should be monitored closely to prevent further complications. Diaphoresis (excessive sweating): Excessive sweating is a common sign of alcohol withdrawal and is related to the overactivity of the sympathetic nervous system. Severe diaphoresis can lead to dehydration and electrolyte imbalances, which can worsen other withdrawal symptoms or lead to cardiovascular instability, thus requiring immediate attention. Incorrect choices: Neurological: Impaired cognition: While impaired cognition can occur during alcohol withdrawal, it is not as immediately life-threatening as seizures. However, it should still be monitored for further progression to more severe withdrawal symptoms. Neurological: Insomnia: Insomnia is a common and less severe symptom of alcohol withdrawal. It generally does not require immediate follow-up, though it can be distressing and may need to be addressed as part of overall symptom management. Gastrointestinal: Lack of appetite: Loss of appetite is a common symptom of alcohol withdrawal but is not a critical or life-threatening concern. It is typically addressed as part of overall care for withdrawal management. Gastrointestinal: Vomiting: While vomiting is a common withdrawal symptom and can be uncomfortable, it does not usually require immediate intervention unless it is severe and persistent, leading to dehydration or electrolyte imbalances.