Difficulty: Medium
Average Score: 89%
Simulated
The client is hospitalized after sustaining a head injury and a fractured wrist from a fall. The client admits to drinking alcohol in moderation several times per week. Which assessment finding should the nurse associate with early alcohol withdrawal?
Correct answer
C
Rationale
Slight BP elevation (C) is an early withdrawal sign. Agitation and DTs (A D) occur later somnolence (B) is unrelated.