A client with a history of alcoholism is admitted for detoxification. Based on treatment protocol, the nurse gives the client a dose of lorazepam 6 mg. Which additional prescription should the nurse administer immediately?
Folic Acid.
Haloperidol.
Trazodone.
Vitamin B1.
The Correct Answer is D
A. Folic acid supplementation may be beneficial for some clients, but it is not typically an immediate priority in alcohol detoxification.
B. Haloperidol is an antipsychotic medication and is not typically indicated as an immediate treatment during alcohol detoxification.
C. Trazodone is an antidepressant medication and is not typically indicated as an immediate treatment during alcohol detoxification.
D. Vitamin B1 (thiamine) supplementation is crucial in alcohol detoxification to prevent or treat Wernicke's encephalopathy and Korsakoff's syndrome, which are neurological complications associated with thiamine deficiency commonly seen in individuals with alcohol use disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Responding with illogical answers to questions is characteristic of schizophrenia, particularly during periods of psychosis when the client may experience disorganized thinking and impaired reality testing.
B. Admitting to frequently thinking about committing suicide is not specific to schizophrenia and may occur in various mental health conditions, such as depression or bipolar disorder.
C. Describing times of depression followed by feelings of euphoria suggests a mood disorder, such as bipolar disorder, rather than schizophrenia.
D. Exhibiting compulsive, ritualistic behaviors may be seen in obsessive-compulsive disorder (OCD) but is not typically characteristic of schizophrenia. Schizophrenia is primarily characterized by positive symptoms (such as hallucinations and delusions), negative symptoms (such as blunted affect and social withdrawal), and cognitive symptoms (such as disorganized thinking and impaired executive function).
Correct Answer is A
Explanation
A. Nausea and vomiting could indicate potential lithium toxicity, which requires immediate medical attention to prevent serious complications.
B. Short-term memory loss is a known side effect of lithium therapy but may not require immediate medical attention unless severe or persistent.
C. Weight gain is a common side effect of lithium, but a five-pound (2.3 kg) gain may not be considered significant enough to warrant immediate medical attention unless it occurs rapidly or is accompanied by other symptoms.
D. Depressed affect is a symptom of depression and may be related to the client's underlying condition but may not require immediate medical attention unless it poses a risk to the client's safety.
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