A patient is admitted to the hospital with a diagnosis of alcoholism. The nurse should expect an order for
Vitamin C 500mg oral daily.
Thiamine hydrochloride (vitamin B1) 50mg intramuscular 3 times a day.
Magnesium 20 mmol in 100ml normal saline via IV one time only.
Albumin 25% 200ml via IV 1 time over 1 hour.
The Correct Answer is B
Choice A reason: Vitamin C supports immunity but is not specific for alcoholism, where thiamine prevents Wernicke’s encephalopathy. Assuming vitamin C is ordered risks neglecting neurological protection, potentially leading to irreversible brain damage, critical to avoid in ensuring comprehensive care for clients with chronic alcohol use disorders.
Choice B reason: Thiamine (vitamin B1) is critical in alcoholism to prevent Wernicke’s encephalopathy due to deficiency, with 50 mg IM three times daily ensuring rapid absorption. This is essential for neurological protection, preventing confusion, ataxia, and irreversible damage, supporting safe recovery in clients admitted for alcoholism management.
Choice C reason: Magnesium corrects electrolyte imbalances but is less urgent than thiamine for preventing neurological complications in alcoholism. Assuming magnesium is primary risks delaying critical B1 administration, potentially leading to encephalopathy, critical to avoid in ensuring prioritized, evidence-based care for clients with alcohol use disorders.
Choice D reason: Albumin treats hypoalbuminemia, not a primary concern in acute alcoholism, where thiamine is critical for brain protection. Assuming albumin is ordered risks overlooking neurological risks, potentially causing preventable complications, critical to prevent in ensuring appropriate, targeted therapy for clients admitted with alcoholism.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Anticipatory Grieving is appropriate, as the family’s sorrow and crying reflect normal emotional preparation for the impending loss of a cancer patient. This diagnosis guides supportive interventions, critical for emotional health, ensuring family coping, and facilitating healthy grieving in end-of-life care settings.
Choice B reason: Potential for Grieving implies future risk, not current sorrow and crying, which indicate active anticipatory grieving. Assuming potential grieving is correct risks underestimating current emotional needs, potentially delaying support, critical to avoid in ensuring timely, compassionate care for families facing imminent loss.
Choice C reason: Dysfunctional Grieving suggests abnormal responses, not applicable to normal sorrow and crying, which fit anticipatory grieving. Assuming dysfunctional grieving risks mislabeling healthy emotions, potentially stigmatizing the family, critical to prevent in supporting normal grief processes in families of dying cancer clients.
Choice D reason: Dysfunctional Grieving with age regression is inappropriate, as sorrow and crying are normal, not regressive, indicating anticipatory grieving. Assuming dysfunction risks misdiagnosing healthy grief, potentially disrupting family support, critical to avoid in ensuring appropriate emotional care for families facing cancer-related loss.
Correct Answer is A
Explanation
Choice A reason: Flexibility is essential for a nursing leader, enabling adaptation to diverse situations, team needs, and challenges in the Student Nurses Association. This quality fosters collaboration, critical for effective leadership, ensuring responsive decision-making, promoting inclusivity, and supporting organizational goals in dynamic nursing education environments.
Choice B reason: Independence is valuable but less critical than flexibility, which ensures collaborative leadership in a student association. Assuming independence is essential risks overlooking teamwork, potentially isolating members, critical to avoid in fostering effective, adaptive leadership in nursing student organizations and professional development.
Choice C reason: Physical stamina supports endurance but is not a core leadership quality, unlike flexibility, which drives adaptive decision-making. Assuming stamina is essential risks prioritizing physicality over strategic skills, critical to prevent in ensuring effective leadership in the Student Nurses Association’s organizational roles.
Choice D reason: Vulnerability fosters empathy but is less critical than flexibility, which ensures adaptive leadership in dynamic settings. Assuming vulnerability is essential risks overemphasizing emotional exposure, potentially undermining decisive leadership, critical to avoid in supporting effective presidency in nursing student organizations.
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