Which assessment findings indicate early alcohol withdrawal?

• A. Lethargy and slurred speech
• B. Diaphoretic only
• C. Bradycardia with hypotension
• D. Diaphoretic, heart rate 120, and blood pressure 180/102

Answer: (D)

Early alcohol withdrawal shows autonomic nervous system overactivity. When someone hasn’t had a drink for several hours, the body often responds with increased sympathetic tone, leading to tachycardia, hypertension, and sweating. The combination of diaphoresis with a heart rate around 120 and a blood pressure of 180/102 reflects this sympathetic activation and aligns with early withdrawal.

Lethargy and slurred speech are more typical of intoxication rather than withdrawal. Diaphoretic alone doesn’t specify autonomic arousal. Bradycardia with hypotension is not characteristic of withdrawal, which usually presents with tachycardia and elevated blood pressure.