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: a. Impaired cognition b. Insomnia c. Seizures Cardiovascular: d. Increased blood pressure e. Increased heart rate f. Diaphoresis Gastrointestinal: g. Lack of appetite h. Vomiting Musculoskeletal: i. Tremulousness j. Malaise

Choice A: Impaired cognition can occur during alcohol withdrawal but is not typically an immediate concern requiring urgent intervention. It is more of a general symptom that can be monitored over time. Choice B: Insomnia is a common symptom of alcohol withdrawal but does not usually require immediate follow-up. It can be managed with supportive care and medications if necessary. Choice C: Seizures are a severe and potentially life-threatening complication of alcohol withdrawal. They require immediate medical attention to prevent further complications and ensure the client’s safety. Choice D: Increased blood pressure is a sign of autonomic hyperactivity during alcohol withdrawal. It can indicate severe withdrawal and requires immediate follow-up to prevent complications such as hypertensive crises. Choice E: An increased heart rate is another sign of autonomic hyperactivity and can indicate severe withdrawal. Immediate follow-up is necessary to manage the client’s cardiovascular status and prevent complications. Choice F: Diaphoresis (excessive sweating) is a common symptom of severe alcohol withdrawal and indicates autonomic hyperactivity. It requires immediate follow-up to manage the client’s condition. Choice G: Lack of appetite is a common symptom of alcohol withdrawal but does not typically require immediate follow-up. It can be managed with supportive care and nutritional support1. Choice H: Vomiting can lead to dehydration and electrolyte imbalances, which are serious concerns during alcohol withdrawal. Immediate follow-up is necessary to manage these risks3. Choice I: Tremulousness (tremors) is a common and early sign of alcohol withdrawal. It indicates autonomic hyperactivity and requires immediate follow-up to prevent progression to more severe symptoms. Choice J: Malaise is a general feeling of discomfort and is common during alcohol withdrawal. It does not typically require immediate follow-up but should be monitored as part of the overall care plan.