An older adult with chronic alcohol misuse is about to undergo surgery. How should the nurse manage potential complications related to their alcohol use disorder?

Rationale: A. While maintaining hydration is important, simply increasing fluids does not address the complex risks associated with alcohol use disorder, such as drug interactions, bleeding risk, liver dysfunction, or potential withdrawal. Fluid management alone is insufficient as a preoperative intervention. B. This is the most important nursing action for managing potential complications. Chronic alcohol use can alter liver metabolism, interact with anesthetic agents, and increase the risk of perioperative bleeding, infection, or withdrawal syndromes. Reviewing all medications (including over-the-counter and herbal supplements) allows the care team to identify interactions, adjust dosages, and implement safety precautions. A thorough review is essential to reduce complications and improve surgical outcomes. C. Early mobilization is a beneficial postoperative intervention to prevent deconditioning and reduce delirium risk. However, it does not address preoperative risks or immediate complications related to chronic alcohol use. It is an important supportive measure but secondary to preoperative assessment and planning. D. Sedatives may be necessary for anxiety management, but in patients with chronic alcohol use disorder, they can increase the risk of respiratory depression, excessive sedation, or interaction with anesthetic agents. Sedatives should be used cautiously and only after evaluating the patient’s overall risk profile.