A nurse is admitting a client with a history of alcohol use disorder. The nurse is aware that which of the following are potential physical symptoms of alcohol withdrawal? (Select all that apply.)

Choice A reason:

Current rehabilitation for opiate addiction, while significant, is not typically associated with Wernicke-Korsakoff syndrome. Opiate addiction primarily affects the brain's reward system and pain pathways and does not usually lead to the specific nutritional deficiencies seen in Wernicke-Korsakoff syndrome.

Choice B reason:

A personal history of alcohol use disorder is strongly associated with Wernicke-Korsakoff syndrome. Chronic alcohol consumption can lead to poor nutritional intake and absorption, particularly of thiamine (vitamin B1), which is crucial for brain function. The deficiency of thiamine is the primary cause of Wernicke-Korsakoff syndrome, leading to damage in the central and peripheral nervous systems.

Choice C reason:

A family history of Alzheimer's disease is not directly related to Wernicke-Korsakoff syndrome. While both conditions affect memory and cognitive function, Wernicke-Korsakoff syndrome is specifically related to thiamine deficiency, often due to alcohol misuse, rather than the genetic factors associated with Alzheimer's disease.

Choice D reason:

Undergoing current treatment for HIV is not an expected history specifically associated with Wernicke-Korsakoff syndrome. Although individuals with HIV may experience cognitive impairments, these are generally related to the virus's effects on the brain rather than the nutritional deficiencies that characterize Wernicke-Korsakoff syndrome.

Choice A Reason:

Instructing the client to sit down and stop pacing may seem controlling and could escalate the client's anxiety. It's important to provide a supportive environment that acknowledges the client's need for movement while also ensuring safety.

Choice B Reason:

Allowing the client to pace alone until physically tired does not engage the client or address the immediate emotional distress. It may also lead to physical exhaustion without resolving the underlying anxiety.

Choice C Reason:

Having a staff member escort the client to her room might be perceived as punitive or isolating. While ensuring the client's safety is important, it's also crucial to address the client's emotional needs and not make them feel secluded.

Choice D Reason:

Walking with the client at a gradually slower pace is a therapeutic intervention that provides support and presence. It allows the nurse to engage with the client, potentially reducing anxiety through conversation and the calming effect of a slower pace.