A client with a history of heavy alcohol use has not consumed alcohol in 24 hours. Which symptom should the nurse report to the physician?

The appropriate symptom for the nurse to report to the physician in this scenario is the elevated blood pressure of 180/100 mm Hg. High blood pressure can be particularly concerning in a client with a history of heavy alcohol use, as sudden cessation of alcohol can lead to a range of physiological changes, including increased blood pressure. This is a critical parameter because significantly elevated blood pressure can lead to serious complications, such as stroke or heart attack.

Monitoring vital signs is essential in patients undergoing withdrawal from alcohol, as withdrawal symptoms can escalate quickly and lead to severe health risks, including delirium tremens, which is characterized by profound autonomic instability. An elevated blood pressure can indicate that the client's body is significantly reacting to the lack of alcohol, requiring immediate medical attention to manage potential complications.

The other symptoms, while potentially concerning, are not as immediately life-threatening. Tactile hallucinations may indicate sensory disturbances associated with withdrawal but are often less critical than elevated blood pressure. A mood rating of 2/10 on a numeric scale indicates low well-being but does not necessitate urgent medical intervention relative to the blood pressure reading. Dehydration can occur in this context but is typically managed through fluid replacement rather than immediate medical intervention. Thus, the blood pressure reading