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?

Laboratory analysis of cardiac arrhythmias

Administration of thiamine

Monitoring for the presence of esophageal varices

Placing the client in protective isolation

Answer and Explanation

The Correct Answer is B

Wernicke- Korsakoff is a neurological disorder that occurs commonly in malnourished alcoholic due to thiamine deficiency. It presents confusion, ataxia, visual disturbances and low blood pressure. It is managed by administration of thiamine to prevent permanent brain damage.
A . although alcohol can cause cardiomyopathy and cardiac arrhythmias, it is not directly related to Wernicke- Korsakoff syndrome
C. chronic alcoholism can lead to liver cirrhosis and esophageal varices but is not directly related to Wernicke-Korsakoff psychosis.
D. isolation is not necessary as Wernicke-Korsakoff psychosis is not a communicable disease.

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Correct Answer is B

Explanation

Allopurinol is a uric lowering agent that reduces the conversion on hypoxanthine to uric acid lowering its levels in blood. This prevents formation of uric acid crystals which are deposited in joints and tissues in gouty arthritis.

A. Spironolactone is a potassium sparing diuretic used in management of ascites, hypertension and heart failure

C. Zolpidem is a sedative-hypnotic agent used in management of sleep wake disorders

D. Alprazolam is a benzodiazepine used in management of anxiety disorders

A. The client waits 10 min between inhalations. B. The client exhales as the medication is released from the inhaler. C. The client holds his breath for 10 seconds after inhaling the medication. D. The client takes a quick inhalation while releasing the medication from the inhaler.

Correct Answer is C

Explanation

The client should hold breath for 5- 10 seconds after inhalation. This duration allows for optimal exposure of the drug to the airway epithelium. This allows for adequate response to the bronchodilator.
A- The client should wait 2 mins between inhalations to allow for optimal absorption of the medication

B- The client should inhale during release of medication to allow entry into the lungs.

D- The client should inhale the medication slowly and deeply over about 3-4 seconds. This ensures that the medication reaches deep into your lungs where it is needed.

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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

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