A client is admitted for the fourth time in 4 years for alcohol detoxification. When planning care for this client, the nurse will include which pathophysiology aspect of alcoholism due to its impact on client care?
A) Aging can impact the ability of the body to handle detoxification from alcohol and drugs.
B) The withdrawal may be greater this time.
C) The dependency might have been greater this time.
D) Increased difficulty with alcohol detoxification is likely the result of an addiction to another substance at the same time.
Answer: B
Subsequent episodes of withdrawal tend to get progressively worse due to kindling. Kindling refers to long-term changes in brain neurotransmission that occur after repeated detoxifications. Aging does not play a role in the process. There is no evidence to support the suspicion that the client is addicted to additional substances or has an increased degree of dependence.
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