A nurse is assessing a client who is experiencing severe alcohol withdrawal. Which of the following findings should the nurse expect?

A. Heart rate 56/min: Bradycardia is not typical during severe alcohol withdrawal. Instead, clients often exhibit tachycardia due to autonomic hyperactivity and increased sympathetic nervous system stimulation. B. Dry skin: While skin changes can occur, dry skin is not a hallmark of alcohol withdrawal. Other findings such as diaphoresis, tremors, and pallor are more commonly observed. C. Temperature 38.6°C (101.5°F): Fever is a common sign of severe alcohol withdrawal, reflecting the hypermetabolic state and autonomic hyperactivity associated with withdrawal. Elevated temperature, along with tachycardia, hypertension, and diaphoresis, indicates a more severe withdrawal process that requires close monitoring and intervention. D. Drowsiness: Severe alcohol withdrawal typically presents with hyperalertness, agitation, and insomnia rather than drowsiness. Lethargy may suggest other complications, but it is not a typical manifestation of acute withdrawal.