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

Glimepiride is a sulphonylurea. It stimulates the pancreatic beta cells to produce insulin. It has potential for causing hypoglycemiaa. Alcohol intoxication also causes hypoglycemia worsening the risk of hypoglycemia when used with glimepiride
A, B, D- do not have significant interaction with glimepiride.

A. Complete an incident report. B. Notify the blood bank of the discrepancy. C. Contact the provider for further orders. D. Administer the blood as ordered.

Correct Answer is D

Explanation

Blood group type AB individuals are considered universal recipients and can receive blood from donors of any ABO blood type without experiencing an adverse reaction. Since the client has type AB blood and the unit of blood available is type B, there is no blood type incompatibility, and the nurse can safely administer the blood as ordered.
A. Completing an incident report is not necessary in this situation as there is no discrepancy or error.
B. There is no discrepancy in this scenario, so notifying the blood bank is unnecessary.
C. Contacting the provider for further orders is not required in this situation.

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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 diabetes mellitus and a new prescription for glimepiride. The nurse should teach the client to avoid which of the following drinks while taking this medication?

Correct Answer is C

Explanation

A nurse is preparing to administer blood to a client. The unit of blood on hand is type B, and the client has type AB blood. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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