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 A
Explanation
Morphine is an opioid analgesic that can cause respiratory depression especially when given in higher doses or to opioid-naive individuals. It's crucial to assess the client's respiratory rate before administering morphine to ensure that the client's respiratory status is stable. Respiratory depression can manifest as a decreased respiratory rate, shallow breathing, or signs of respiratory distress.
B, C, D- They are important vital signs but respiration takes priority and specific to opioid administration
Correct Answer is C
Explanation
Prednisone is a corticosteroid used in the management of inflammatory disorders like gouty arthritis, rheumatoid arthritis and connective tissue disorders. Prednisone, like other corticosteroids have a counter regulatory effect in glucose metabolism and increases insulin resistance in the peripheral tissues leading to hyperglycemia
A- Cimetidine is a histamine receptor antagonist used in management of gastric ulcers. It has no effect of glucose tolerance.
B. Dextromethorphan is a cough suppressant use in upper respiratory infections and has no effect on glucose tolerance.
D. Atorvastatin is a lipid lowering agent used to reduce the risk of cardiovascular event such as myocardial infarction and stroke. It has no effect on glucose
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