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.
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Related Questions
Correct Answer is D
Explanation
corticosteroids such as prednisone are potent anti-inflammatory agents used in inflammatory conditions such as rheumatoid arthritis. This reduces the features of inflammation which include reduction of pain.
A. Prednisone reduces bone density
B. Prednisone lowers the body's immunity increasing the risk of infection
C. Prednisone increases risk of cardiovascular disease but does not directly interfere with peripheral blood
Correct Answer is B
Explanation
It is recommended that every injection of phenytoin be followed by infusion of at least 50 to 100mls of normal saline infusion. This is important to prevent local irritation that occurs as surrounding tissues react to the medication.
A. Mixing phenytoin in dextrose 5% is not recommended due risk of precipitation of the Phenytoin acid
C. Phenytoin should be given at a date of 50mg/min or less to reduce the risk of toxicity
D. The injection should not be held as it is used to manage the seizure unless it is not safe for the nurse to give it
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