The nurse is caring for a client with alcohol use disorder. Which of the following nursing interventions is appropriate for a client to prevent Korsakoff’s syndrome?
Encouraging the client to consume foods high in vitamin B1.
Implementing strict bed rest to conserve energy.
Restricting fluid intake to prevent water intoxication.
Administering thiamine supplements as prescribed.
The Correct Answer is D
Choice A Reason: Encouraging the client to consume foods high in vitamin B1 (thiamine) is beneficial, but it may not be sufficient alone to prevent Korsakoff’s syndrome in individuals with alcohol use disorder. Thiamine is crucial for brain function, and its deficiency can lead to Wernicke-Korsakoff syndrome. However, due to malabsorption issues common in alcohol use disorder, dietary intake alone might not meet the necessary thiamine levels.
Choice B Reason: Implementing strict bed rest to conserve energy is not directly related to preventing Korsakoff’s syndrome. While rest is important for overall health, it does not address the thiamine deficiency that leads to this condition. Korsakoff’s syndrome is primarily caused by a lack of thiamine, and conserving energy does not mitigate this deficiency.
Choice C Reason: Restricting fluid intake to prevent water intoxication is not relevant to preventing Korsakoff’s syndrome. Water intoxication is a separate issue and does not address the thiamine deficiency that causes Korsakoff’s syndrome. Proper hydration is important, but it does not prevent the neurological damage associated with thiamine deficiency.
Choice D Reason: Administering thiamine supplements as prescribed is the most appropriate intervention to prevent Korsakoff’s syndrome. Thiamine supplementation is crucial for individuals with alcohol use disorder because their bodies often cannot absorb enough thiamine from food alone. Thiamine is essential for brain function, and its deficiency can lead to severe neurological damage. Administering supplements ensures that the client receives an adequate amount of this vital nutrient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is c. Replace fluids.
Choice A Reason: Apply restraints
Applying restraints is generally not the first-line intervention for managing alcohol withdrawal. Restraints should only be used if the patient poses an immediate threat to themselves or others and all other less restrictive measures have failed. The primary focus in the initial phase of alcohol withdrawal is to manage physiological stability and prevent complications.
Choice B Reason: Identify social supports
While identifying social supports is important for long-term recovery and overall mental health, it is not the highest priority during the initial phase of alcohol withdrawal. The immediate concern is to address the acute physiological symptoms and prevent severe complications such as seizures or delirium tremens.
Choice C Reason: Replace fluids
Replacing fluids is the highest priority in the initial phase of alcohol withdrawal. Dehydration is a common issue in patients undergoing withdrawal, and maintaining fluid balance is crucial for preventing complications. Ensuring adequate hydration helps stabilize the patient and supports overall physiological function during the withdrawal process.
Choice D Reason: Orient to reality
Orienting the patient to reality is important, especially if they are experiencing confusion or delirium. However, it is not the highest priority in the initial phase of alcohol withdrawal. The primary focus should be on stabilizing the patient’s physiological condition, including fluid replacement and monitoring vital signs.
Correct Answer is A
Explanation
The correct answer is a. I feel so defeated and want to hide after I have binged.
Choice A Reason:
Individuals with binge-eating disorder often experience intense feelings of shame, guilt, and defeat after a binge episode. This emotional response is a hallmark of the disorder and can lead to further cycles of binge eating as a way to cope with these negative emotions. The statement “I feel so defeated and want to hide after I have binged” accurately reflects the emotional turmoil that accompanies binge-eating episodes.
Choice B Reason:
The statement “I am able to control the pace of my bingeing when I start getting full” is not typically associated with binge-eating disorder. People with this disorder often feel a loss of control over their eating during a binge episode and are unable to stop even when they are full. This lack of control is a key diagnostic criterion for binge-eating disorder.
Choice C Reason:
While feeling hungry can trigger a binge, it is not the primary characteristic of binge-eating disorder. The disorder is more about the uncontrollable nature of the eating episodes and the emotional distress that follows, rather than just responding to hunger. Therefore, the statement “My binges usually start off with feeling hungry” does not fully capture the essence of the disorder.
Choice D Reason:
Binge-eating as a reward for completing difficult tasks is not a typical feature of binge-eating disorder. The disorder is more about using food as a way to cope with negative emotions rather than as a reward. The statement “I binge to reward myself for completing difficult tasks” does not align with the common emotional triggers for binge-eating episodes.
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