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?

Monitoring for the presence of esophageal varices

Placing the client in protective isolation

Laboratory analysis of cardiac enzymes

Administration of thiamine

Answer and Explanation

The Correct Answer is D

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.

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Free Nursing Study Resources

Correct Answer is ["0.5"]

Explanation

To find out how many tablets of buspirone the nurse should administer per dose, we'll use the formula:

Numberoftablets = Totaldoseneeded(mg)/Dosepertablet(mg)

Given: Total dose needed per dose = 7.5 mg/ Dose per tablet = 15 mg

Substituting the given values into the formula:

Numberoftablets = 7.5 mg/15 mg per tablet

Numberoftablets = 7.5/15 tablets

Numberoftablets = 0.5 tablets

Rounded to the nearest tenth, the nurse should administer 0.5 tablets of buspirone per dose.

A. Speak to the provider about adding an MAOI to the current medication regimen. B. Tell the client that the provider will need to change citalopram to a different medication. C. Explain that antidepressants often take several weeks to be fully effective. D. Recommend a sleep study be done on the client.

Correct Answer is C

Explanation

A. Speaking to the provider about adding an MAOI to the current medication regimen: MAOIs (Monoamine oxidase inhibitors) are typically considered as second- or third-line treatments due to their potential for serious side effects and interactions with other medications. It is not the first-line approach to managing depressive symptoms that have not improved with citalopram alone.

B. Telling the client that the provider will need to change citalopram to a different medication: It's premature to switch medications after only two weeks, as antidepressants often take several weeks to exert their full therapeutic effect. It's essential to allow adequate time for the current medication regimen to work before considering a change.

C. Explaining that antidepressants often take several weeks to be fully effective: This is the most appropriate action. It's important for the nurse to educate the client about the delayed onset of action of antidepressants and reassure them that improvement may take time. Adjustments to the dosage or switching to a different medication would typically be considered if there is no improvement after a sufficient trial period.

D. Recommending a sleep study be done on the client: While sleep disturbances are common in depression, recommending a sleep study would be premature at this stage. It's essential to address the underlying depressive symptoms first, as they may contribute to the sleep disturbance.

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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 preparing to administer buspirone 7.5 mg PO every 12 hr to a client. The amount available is buspirone 15 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.5"]

Explanation

Correct Answer is C

Explanation

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