A nurse is caring for a client who has bipolar disorder and has been taking lithium for 1 year. Before administering the medication, the nurse should check to see that which of the following tests have been completed?

D. Wernicke-Korsakoff psychosis is a neurological disorder caused by thiamine (vitamin B1) deficiency, often resulting from chronic alcohol use disorder. Thiamine deficiency can lead to significant neurological impairments, including confusion, ataxia, and memory deficits characteristic of Wernicke's encephalopathy and Korsakoff's psychosis.

The primary intervention for Wernicke-Korsakoff psychosis is the administration of thiamine supplementation. Thiamine replacement therapy is essential to prevent further neurological deterioration and to potentially reverse some of the cognitive deficits associated with the disorder.

The other options are not directly related to Wernicke-Korsakoff psychosis:

A. Monitoring for the presence of esophageal varices is more relevant to complications of chronic liver disease, such as cirrhosis, commonly seen in individuals with alcohol use disorder, but not specific to Wernicke-Korsakoff psychosis.

B. Placing the client in protective isolation is not indicated for Wernicke-Korsakoff psychosis. Protective isolation is typically used for clients with compromised immune systems to reduce the risk of infection.

C. Laboratory analysis of cardiac enzymes is typically performed to assess for myocardial injury or infarction, which is not directly associated with Wernicke-Korsakoff psychosis.

Children can often be resistant to taking medication, but offering them choices and involving them in the process can help promote cooperation. Here's the rationale for each option:

A. Tell the child it is candy: This strategy involves deception and can lead to trust issues if the child discovers the truth. It's not ethical or recommended to lie to a child about medication.

B. Tell the child he will have to have a shot instead: Threatening the child with a shot is coercive and can cause fear and anxiety. It's not an appropriate or therapeutic approach to encourage cooperation.

C. Hide the medication in a large dish of ice cream: While hiding medication in food may work for some children, it's important to ensure that the child consumes the entire dose. Additionally, it's essential to check with the healthcare provider or pharmacist to confirm that the medication can be taken with food. However, this approach may not address the underlying issue of the child's resistance to taking medication.

D. Offer the child a choice of taking the medication with juice or water: Offering the child a choice empowers them and gives them some control over the situation. By allowing the child to choose how they take the medication, they may feel more comfortable and cooperative. This approach respects the child's autonomy and can be an effective way to encourage cooperation while ensuring the medication is taken as prescribed.