A nurse is caring for a client who has Wernicke—Korsakoff psychosis as a result of chronic alcohol use disorder. Which of the following interventions should the nurse anticipate?
Laboratory analysis of cardiac arrhythmias
Administration of thiamine
Monitoring for the presence of esophageal varices
Placing the client in protective isolation
The Correct Answer is B
Wernicke- Korsakoff is a neurological disorder that occurs commonly in malnourished alcoholic due to thiamine deficiency. It presents confusion, ataxia, visual disturbances and low blood pressure. It is managed by administration of thiamine to prevent permanent brain damage.
A . although alcohol can cause cardiomyopathy and cardiac arrhythmias, it is not directly related to Wernicke- Korsakoff syndrome
C. chronic alcoholism can lead to liver cirrhosis and esophageal varices but is not directly related to Wernicke-Korsakoff psychosis.
D. isolation is not necessary as Wernicke-Korsakoff psychosis is not a communicable disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Montelukast is a leukotriene receptor antagonist used in the management of asthma and allergic rhinitis. Though rare, montelukast can cause neuropsychiatric adverse effects such as including depression, agitation and suicidal behaviors.
A, C, D- are not typically associated with use of montelukast
Correct Answer is D
Explanation
NPH Insulin is an intermediate acting insulin with a peak at 6-14hrs
A. Freezing unopened insulin vials is not recommended, as freezing can denature the insulin and affect its potency. Insulin should be stored in the refrigerator but should not be frozen
B. The insulin should be rotated of rolled between palms to allow for proper mixing before drawing.
Shaking vigorously promotes bubble formation
C. NPH insulin has a normal turbid appearance at neutral pH
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