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 D

Explanation

A. This requires prompt attention but is not immediately life-threatening.

B. This requires attention but does not pose an immediate threat to the client's condition.

C. An almost completely full urinary catheter drainage bag requires attention but does not pose an immediate threat to the client's condition.
D. Administering oxygen without humidification could lead to mucosal dryness and damage, and should be addressed promptly.

A. Skin pale and diaphoretic B. Respiratory rate 36 breaths/minute C. Blood pressure 140/86 mm Hg D. Temperature 101.1° F (38.4" C) orally E. Bilateral basilar crackles F. Bilateral radial pulses bounding G. Heart rate 117 beats/minute and irregular H. Oxygen saturation 98% on room air

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

Explanation

A. Skin pale and diaphoretic: These can be signs of dehydration, infection, or other conditions.
B. Respiratory rate 36 breaths/minute - This is elevated, especially for a child, indicating potential respiratory distress or infection, particularly given the patient's history and current fever.
C. Blood pressure 140/86 mm Hg - This is high for a 7-year-old and could indicate fluid overload or other complications related to his chronic kidney disease.
D. Temperature 101.1° F (38.4° C) orally - Continued fever despite antipyretic treatment suggests ongoing infection or inflammation needing further evaluation.
E. Bilateral basilar crackles - This could suggest fluid in the lungs (pulmonary edema), which is critical given the patient's possible fluid overload and high blood pressure.
F. Bilateral bounding radial pulses is not necessarily a cause of concern in the above case.

G. Heart rate 117 beats/minute and irregular - An elevated and irregular heart rate in a child is concerning and could indicate cardiovascular stress or electrolyte imbalances, which need addressing given his elevated potassium levels.
H. Oxygen saturation 98% on room air: Normal oxygen saturation suggests adequate gas exchange.

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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

When entering the room of a sedated postoperative client, which assessment requires immediate intervention by the nurse?

Correct Answer is D

Explanation

Patient's data Exhibits The nurse obtains verbal handoff from the outpatient clinic nurse, reviews the electronic health record, and completes an initial assessment including vital signs. Which assessment findings require follow up by the nurse? Select all that apply.

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

Explanation

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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?