0855: Client was brought to the clinic by her husband, who reports that she has been falling frequently, having difficulty remembering things, and numbness and tingling in the lower extremities. Onset was 2 weeks ago, with the falling and memory impairment worsening over the past week. The client's husband reports that he is worried about his wife's drinking because it has increased from three beers a day to five or six. She reports that her last drink was four days ago. The client's medical history includes atrial fibrillation, and current medications include apixaban and metoprolol.

On assessment, the client is alert and oriented to person, place, and time, speech is delayed. Her gait is unsteady and requires assistance with ambulation. Pupils are equal, round, and reactive to light with nystagmus. Skin is warm to touch and a normal color for ethnicity. Breathing is unlabored, and lung sounds are clear bilaterally. Peripheral pulses 2+ and irregular. Vital signs: T 97°F (36°C), P 72, RR 14, BP 136/78, pulse oximetry reading 97% on room air. Denies any pain, but reports tingling in her lower extremities.