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 B

Explanation

A. Continuous bladder irrigation postoperatively is a routine procedure and does not require immediate intervention unless there are complications.

B. This client may be at risk for complications such as a transfusion reaction or hemorrhage. Close monitoring is required to ensure the client's vital signs are stable and there are no adverse reactions to the transfusion.
C. A client requesting pain medication one day postoperative from a laparoscopic cholecystectomy, would follow as effective pain management is important for recovery, but this situation is not immediately life-threatening.
D. While hip arthroplasty is a significant procedure, the client in traction is not in an acute postoperative state requiring immediate attention.

A. Administering antipyretic medication as needed B. Educating client and family on the importance of fluid restrictions C. Collaborating with dietician to prepare low protein diet D. Monitoring fluid status E. Investigating acid/base complication F. Assessing for worsening respiratory status G. Performing diagnostic testing to determine cause of fever H. Reassessing vital signs I. Identifying cardiac arrhythmias

Correct Answer is ["D","F","I"]

Explanation

A. Administering antipyretic medication as needed is important for managing the client's fever and improving comfort, but not as urgent as monitoring fluid, respiratory status, and cardiac function.
B. Client and family education on fluid management is important but can be addressed after assessing hydration status.
C. Protein restriction might be necessary for CKD management in the long term, but not the most pressing need right now.
D. Given the client's history of chronic kidney disease, monitoring fluid status is crucial to prevent fluid overload and ensure adequate kidney function. Accurate intake and output measurements, along with daily weights, are essential.
E. The bicarbonate level (18 mEq/L) is slightly low, but further investigation can come after addressing the infection.
F. The chest X-ray shows bibasilar infiltrates, and the client has a high respiratory rate.

Continuous assessment of respiratory status is important to detect any signs of respiratory distress or infection, which may require immediate intervention.
G. Performing diagnostic testing to determine cause of fever is necessary for identifying the underlying infection, but secondary to immediate stabilization efforts.
H. Reassessing vital signs is vital for ongoing assessment, but integrated into the monitoring of fluid status, respiratory status, and cardiac function.

I. The client has an elevated potassium level and an irregular heart rate, putting him at risk for cardiac arrhythmias. Continuous ECG monitoring and immediate identification of any arrhythmias are critical to prevent cardiac complications.

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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

The nurse is assigned to care for four surgical clients. After receiving report, which client should the nurse see first?

Correct Answer is B

Explanation

Patient Data Exhibits The healthcare provider has assessed the client and completes initial prescriptions. Which three interventions should the nurse prioritize for this client?

Correct Answer is ["D","F","I"]

Explanation

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