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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Vasopressin (ADH) is used to treat diabetes insipidus by increasing water reabsorption in the kidneys, thereby decreasing urine output. Therefore, a decrease in urine output would indicate that the medication is effective in managing the condition. Options
A- Water retention increases blood pressure and not vice versa
C- Water retention leads to increased specific gravity of urine
D- Vasopressin has no effect on blood glucose
Correct Answer is B
Explanation
A. Taking the medication on an empty stomach is not necessary
B. Storing the medication at room temperature is correct to prevent degradation and reduced efficacy.
C. The duration of treatment with nystatin suspension varies depending on the severity of the infection as fungal infections require days to weeks to clear completely
D.After swishing, it's usually recommended to hold the medicine in the mouth for as long as possible before swallowing, to maximize its effectiveness
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