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

Answer and Explanation

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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Correct Answer is C

Explanation

Cimetidine inhibits the cytochrome enzymes leading to increased blood concentration of other drugs like theophylline hence increased risk of toxicity. The dosage of the drugs should be lowered when one is on cimetidine.

A-Cimetidine should be taken with meals or at bedtime for more effective absorption and optimal therapeutic effect.

B. There is no specific duration mentioned for the treatment of duodenal ulcer with cimetidine.

D. Taking cimetidine with an antacid is not recommended as they decrease the absorption of cimetidine.

A. Draw a trough level immediately prior to administering the medication and peak level 30 min after the dose. B. Draw a peak level at 0900 and a trough level at 2100. C. Draw a peak level 90 min prior to administering the medication and a trough level 90 min after the dose. D. Draw a trough level at 0900 and a peak level at 2100.

Correct Answer is A

Explanation

Trough levels should be taken immediately to ensure that the drug levels are at the lowest. Peak levels are taken 30-45mins after the infusion as the drug levels rises rapidly reaching a peak level

B, D- The timings of measurement are closely related to the administration of the drug

C- Peak levels are taken after administration and trough levels after an d not vice versa

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a duodenal ulcer about his new prescription for cimetidine. The nurse should include which of the following instructions in the teaching?

Correct Answer is C

Explanation

A nurse is caring for a client who has an infection and a prescription for gentamicin intermittent IV bolus every 8 hr. A peak and trough is required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level?

Correct Answer is A

Explanation

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