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 A

Explanation

Cushing's Triad is a set of clinical signs associated with increased intracranial pressure (ICP) and typically includes hypertension (widening pulse pressure), bradycardia, and irregular respirations. Mannitol is an osmotic diuretic that works by drawing water out of brain tissue and into the bloodstream, thereby reducing cerebral edema and intracranial pressure.
B, C, D have no role in raised intracranial pressure

A. “If I get a rash from this medication, I will take my usual antihistamine” B. “If I get a fever while taking this medication I will take some aspirin” C. "I need to increase my fluid intake while taking this medication” D. "1 should take this medicine on an empty stomach."

Correct Answer is C

Explanation

Allopurinol is used to lower uric acid levels in the body in gouty arthritis preventing acute attacks. Increasing fluid intake while taking allopurinol is important because it helps to prevent the formation of kidney stones by flushing out uric acid, a potential side effect of the medication
A. Taking an antihistamine for a rash caused by allopurinol is not recommended without consultation
B. Taking aspirin for a fever while on allopurinol is not recommended without consultation with a physician
D. Allopurinol can be taken with or without food.

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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 caring for a client who is experiencing Cushing's Triad following a subdural hematoma. Which of the following medications should the nurse plan to administer?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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