You are an RN working in a busy Emergency Department and have just received a new patient who smells like alcohol, has bloodshot eyes, and reports a severe headache. The patient states that he hasn't had a real meal in a long time, and drinks several large bottles of alcohol daily. What do you anticipate administering to this patient based upon his history?

Timolol eyedrops

Acetaminophen

Aspirin

Banana bag

Answer and Explanation

The Correct Answer is D

A.   Timolol is a beta-blocker used primarily to treat glaucoma by reducing intraocular pressure. It would not address the issues presented by this patient, who is likely dealing with alcohol-related complications.
B.   Acetaminophen is used to relieve pain and reduce fever. While the patient reports a severe headache, administering acetaminophen may not be advisable due to potential liver damage from alcohol use, especially if the patient has not eaten properly. Chronic alcohol use can also increase the risk of hepatotoxicity with acetaminophen.
C.   Aspirin is another pain reliever that could potentially be used for headaches. However, like acetaminophen, it carries risks for patients with alcohol use, particularly gastrointestinal bleeding. Additionally, aspirin should be used cautiously in cases of possible liver impairment.
D.   A "banana bag" is a term for an intravenous solution often used in patients with alcohol use disorder to provide hydration and essential vitamins, especially thiamine, which can prevent Wernicke's encephalopathy. It typically contains normal saline or dextrose, electrolytes, and vitamins (including B1, B6, and B12).

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Correct Answer is A

Explanation

A. Hallux Valgus refers to a deformity where the big toe (hallux) angles towards the second toe, often accompanied by a bony bump (bunion) on the side of the foot. This condition can cause pain, discomfort, and difficulty in finding properly fitting footwear.
B. Ulnar deviation refers to the movement of the wrist where the hand deviates towards the ulnar bone (the side of the little finger). It is often associated with rheumatoid arthritis and not related to foot deformities.
C. Nodules on the fingers can occur in various conditions, including rheumatoid arthritis (called rheumatoid nodules). This term does not relate to Hallux Valgus or any deformity of the foot.
D. Bone spurs are bony projections that develop along the edges of bones, often related to osteoarthritis. While they can occur in the knees, they are not associated with Hallux Valgus.

A. Vit B12 IM B. Iron PO C. PRBC Transfusion D. NS IV infusion

Correct Answer is A

Explanation

A. Patients with this condition cannot absorb vitamin B12 from food due to a lack of intrinsic factor, which is essential for vitamin B12 absorption in the intestines. Therefore, vitamin B12 is administered via intramuscular (IM) injection to bypass the gastrointestinal absorption issue, ensuring that the patient receives the necessary amount of this vital nutrient.
B. While iron supplements may be necessary for other types of anemia (like iron deficiency anemia), they are not the primary treatment for Pernicious Anemia. This condition is specifically related to vitamin B12 deficiency rather than iron deficiency, so iron is not a standard treatment option in this scenario.
C. Packed red blood cell (PRBC) transfusions may be used in severe cases of anemia, particularly if the patient is symptomatic or has significant fatigue or cardiovascular instability. However, this is not a direct treatment for Pernicious Anemia itself and is not routinely used as the primary management strategy.
D. Normal saline (NS) intravenous infusion may be used for hydration or to maintain fluid balance, but it does not address the underlying cause of Pernicious Anemia. It is not a treatment for the deficiency of vitamin B12.

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Naxlex Comprehensive Predictor Exams

You are reading the Physician's notes on your patient when you notice that the Dr. wrote that the patient has a Hallux Valgus deformity. What is this describing?

Correct Answer is A

Explanation

Your client is diagnosed with Pernicious Anemia. What is the MOST likely treatment that they will receive?

Correct Answer is A

Explanation

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