A nurse is discussing the manifestations of alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates understanding?

A. "I should expect tremors to start less than 24 hours after I stop drinking." Alcohol withdrawal symptoms, such as tremors, usually begin 6 to 24 hours after the last drink, with tremors being one of the early signs of withdrawal. Other early symptoms may include anxiety, irritability, nausea, and sweating. This response demonstrates understanding of the typical timeline for alcohol withdrawal symptoms. B. "It is important that I take vitamin C to prevent cirrhosis or other liver damage." While vitamin supplementation (especially thiamine and folic acid) is important for individuals with alcohol use disorder to prevent deficiencies (like Wernicke-Korsakoff syndrome), vitamin C does not specifically prevent liver damage or cirrhosis. The statement is inaccurate in this context. C. "Disulfiram will block my cravings for alcohol." Disulfiram (Antabuse) does not block cravings for alcohol; instead, it causes an adverse reaction (nausea, vomiting, headache, etc.) when alcohol is consumed. It is used as a deterrent for drinking by making the experience of drinking unpleasant, but it does not directly address cravings. D. "My symptoms should last about 5 to 7 days once they begin." The acute withdrawal phase typically lasts for 2 to 3 days, with symptoms peaking within the first 48 hours. While some symptoms (like anxiety, irritability, and fatigue) may last longer, the most intense withdrawal symptoms generally resolve within a few days. Severe symptoms, like delirium tremens (DTs), can last longer, but this occurs in a smaller percentage of individuals.