A nurse is caring for a client who is experiencing alcohol withdrawal. Exhibits Complete the following sentence by using the lists of options. The nurse should first administer dropdown followed by administering dropdown

Correct choices are metoclopramide then propranolol Rationale 1. Metoclopramide: The first choice should be metoclopramide, an antiemetic, because the client is experiencing vomiting. Vomiting is a common symptom of alcohol withdrawal, which can be aggravated by nausea. Metoclopramide can help manage the vomiting by promoting gastric emptying and alleviating nausea, thus improving the client's comfort and preventing further complications from dehydration and electrolyte imbalances due to vomiting. 2.Propranolol: After addressing the vomiting, the nurse should administer propranolol. This beta-blocker is useful for managing alcohol withdrawal symptoms such as elevated heart rate and blood pressure, which the client is exhibiting. On Day 2, the client's blood pressure has increased significantly (198/86 mm Hg), and their heart rate has risen to 116/min, which suggests sympathetic hyperactivity typical of alcohol withdrawal. Propranolol can help reduce these vital sign changes, manage agitation, and prevent complications such as cardiovascular instability.