A nurse is caring for a client who is experiencing alcohol withdrawal. Exhibits A nurse is planning care for a client who has alcohol use disorder. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client.

Rationale: Schedule electroconvulsive therapy (ECT): ECT is a treatment for severe depression, bipolar disorder, or catatonia that has not responded to other treatments. It is not indicated for the acute management of alcohol withdrawal syndrome or alcohol use disorder. Diazepam 10 mg PO three times a day: Diazepam is commonly used to manage alcohol withdrawal symptoms due to its sedative and anticonvulsant properties. It helps prevent withdrawal seizures and reduces anxiety during the withdrawal period. Perform Alcohol Use Disorders Identification Test (AUDIT): This assessment tool is appropriate for evaluating the severity of alcohol use disorder and understanding the client’s alcohol consumption patterns. It is essential for treatment planning and ongoing care. Group therapy: Group therapy is an essential component of alcohol use disorder treatment. It offers support, accountability, and shared experiences, which are vital in maintaining sobriety. Complete blood count and basic metabolic profile: These lab tests are necessary to monitor the client's overall health and identify potential complications related to alcohol withdrawal, such as electrolyte imbalances, anemia, or liver dysfunction. Nutritional consult: Clients with alcohol use disorder often have poor nutrition, and a nutritional consult is essential to address deficiencies, provide guidance, and support recovery. Methadone 40 mg PO daily: Methadone is used for opioid withdrawal and maintenance treatment, not for alcohol use disorder. It is contraindicated in this client’s care, as it is not indicated for alcohol withdrawal or management. Propranolol 40 mg PO twice a day: Propranolol may be used to manage the autonomic symptoms of alcohol withdrawal, such as elevated heart rate and blood pressure. It can help control symptoms like tremors and anxiety, making it an appropriate choice.