💊 NCLEX-RN Exam Prep

A nurse is caring for a client with alcohol use disorder who is experiencing acute withdrawal. Which assessment finding requires immediate nursing intervention?

A Reports of vivid nightmares and difficulty sleeping.
B Blood pressure of 160/98 mmHg, pulse 110 bpm, and tremors.
C Verbalizes feelings of guilt and shame about their drinking.
D Requests extra blankets due to feeling cold.

✓ Correct Answer: Option B

Elevated blood pressure, tachycardia, and tremors are signs of autonomic hyperactivity, indicating worsening alcohol withdrawal. These can precede seizures or delirium tremens, requiring immediate medical intervention to prevent life-threatening complications.

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