A client with a history of alcoholism is admitted for detoxification. Based on treatment protocol, the nurse gives the client a dose of lorazepam 6 mg. Which additional prescription should the nurse administer immediately?

Haloperidol

Folic Acid.

Trazodone

Vitamin B1.

Answer and Explanation

The Correct Answer is D

A.   Haloperidol might be used in some detoxification scenarios but isn't directly indicated based on the information provided.
B.   Folic acid is not an immediate medication administered during alcohol detoxification.
C.   Trazodone is used for other purposes and is not an immediate medication in alcohol detoxification.
D.   Vitamin B1 (thiamine) supplementation is crucial during alcohol detoxification to prevent Wernicke-Korsakoff syndrome or other neurological complications associated with
alcohol withdrawal.

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Correct Answer is C

Explanation

A. "The snakes on the wall are going to eat me" indicates a hallucination, specifically a visual hallucination. Hallucinations involve perceiving something that is not present, such as seeing or hearing things that others do not. This statement does not confirm delusions.

B. Hearing voices instructing harm doesn't confirm delusions but auditory hallucinations.

C. "The nurse at night is trying to poison me with pills" reflects a delusion, specifically a persecutory delusion. Delusions are false, fixed beliefs that are not based in reality and are resistant to reasoning or contradictory evidence. This statement indicates a belief that someone is attempting harm, which is characteristic of delusional thinking.

D. Believing fire is burning the skin could suggest a hallucination involving sensations, not necessarily a delusion.

A. Consumption, liver enzyme, gastrointestinal complaints, and bleeding. B. Cancer screening results, anger, gastritis, daily alcohol intake. C. Minimizes drinking, frequently misses family events, guilt about drinking, amount of daily intake. D. Efforts to cut down, annoyance with questions, guilt, drinking as an "Eye-opener."

Correct Answer is D

Explanation

A. While liver enzymes and gastrointestinal complaints are important, they are not part of the CAGE questionnaire.
B. Cancer screening results, anger, and gastritis are not directly addressed by the CAGE questionnaire.
C. The listed items are relevant but not specifically addressed by the CAGE questionnaire.
D. Efforts to cut down, annoyance with questions, guilt, and drinking as an "eye-opener" are aspects explored in the CAGE questionnaire to assess alcohol dependency.

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A client with a history of alcoholism is admitted for detoxification. Based on treatment protocol, the nurse gives the client a dose of lorazepam 6 mg. Which additional prescription should the nurse administer immediately?

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Naxlex Comprehensive Predictor Exams

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