A client is admitted to a medical unit with a diagnosis of gastritis and chronic heavy alcohol abuse. Which medication should the nurse administer to prevent the development of Wernicke's syndrome?

Lorazepam

Famotidine

Atenolol

Thiamine

Answer and Explanation

The Correct Answer is D

A. Lorazepam is not indicated for preventing Wernicke's syndrome.

B.   Famotidine is a histamine-2 blocker used to reduce stomach acid secretion and treat gastritis symptoms but does not prevent Wernicke's syndrome.
C.   Atenolol is a beta-blocker used to treat hypertension and angina, not to prevent Wernicke's syndrome.
D.   Thiamine supplementation is essential in individuals with chronic alcohol abuse to prevent Wernicke's syndrome, which is caused by thiamine deficiency.

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Correct Answer is ["A","B","C","D","E"]

Explanation

The incision dressing is dry and intact, with no bleeding noted: This indicates that the surgical site is healing well without any signs of infection or complications. A dry and intact dressing suggests that there is no active bleeding or wound drainage, which is a positive sign of wound healing.

The client has tolerated clear liquids post-recovery and has advanced to a soft diet: Progression from clear liquids to a soft diet indicates that the client's gastrointestinal function is returning to normal. This progression suggests that there are no immediate concerns regarding postoperative nausea, vomiting, or bowel obstruction.

The client has ambulated around the unit and tolerated activity well: Ambulation and tolerance of activity demonstrate the client's physical mobility and overall strength. Being able to move around the unit without difficulty suggests that the client is recovering well from the surgical procedure and is regaining strength and function.

Bowel sounds are present in all 4 quadrants, and the client has passed flatus: The presence of bowel sounds in all four quadrants indicates normal gastrointestinal motility and function. Passing flatus is another positive sign of gastrointestinal recovery, suggesting that the client's bowels are active and functioning properly post-surgery.

Pain is tolerated with analgesia orally: The client's ability to tolerate pain with oral analgesia indicates effective pain management and suggests that the surgical incision site is not causing significant discomfort or distress. Effective pain control is essential for postoperative comfort and can facilitate the client's recovery process.

A. Plain, air-popped popcorn. B. Cheddar cheese cubes. C. Lightly salted potato chips. D. Natural whole almonds. E. Canned fruit in heavy syrup.

Correct Answer is ["A","D"]

Explanation

A. Plain, air-popped popcorn is a low-calorie, low-sodium snack that is suitable for clients with heart failure.
B. Cheddar cheese cubes are high in fat and sodium, which is not ideal for heart failure management.

C. Lightly salted potato chips still contain significant sodium, which should be limited in heart failure diets.
D. Natural whole almonds are a good source of healthy fats and protein, making them a suitable option.
E. Canned fruit in heavy syrup contains added sugars and unnecessary calories, which should be avoided.

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A client is admitted to a medical unit with a diagnosis of gastritis and chronic heavy alcohol abuse. Which medication should the nurse administer to prevent the development of Wernicke's syndrome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D","E"]

Explanation

During discharge teaching, an overweight client with heart failure (HF) is asked to make a grocery list for the nurse to review. What food choice(s) included on the client's list should the nurse encourage? Select all that apply.

Correct Answer is ["A","D"]

Explanation

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