The nurse is caring for a client with Wernicke encephalopathy. The nurse determines that teaching has been effective when the client makes which statement?
"My condition is a degenerative brain disorder caused by nutrient deficiency."
"There is swelling of my brain that is caused by alcohol consumption."
"The inability of my liver to metabolize the alcohol caused this condition."
"Toxins from the alcohol I drank have caused my brain to swell."
The Correct Answer is A
A. "My condition is a degenerative brain disorder caused by nutrient deficiency." Wernicke encephalopathy is caused by thiamine (vitamin B1) deficiency, which is often due to chronic alcoholism. The condition is associated with neurological damage from this nutrient deficiency, making this statement accurate.
B. "There is swelling of my brain that is caused by alcohol consumption." Wernicke encephalopathy is not characterized by brain swelling but by neurological damage due to thiamine deficiency.
C. "The inability of my liver to metabolize the alcohol caused this condition." While liver dysfunction can be associated with alcohol use, Wernicke encephalopathy is specifically due to thiamine deficiency, not liver metabolism issues.
D. "Toxins from the alcohol I drank have caused my brain to swell." This statement is incorrect as Wernicke encephalopathy is related to thiamine deficiency rather than brain swelling from alcohol toxins.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. client's anxiety level decreased: While reducing anxiety is important, it is not the initial priority when a client is experiencing physical pain that is affecting their ability to engage in the assessment.
B. client's pain level decreased: The initial desired outcome is to address the client's immediate physical pain. Once the pain is managed, the client will likely be better able to participate in the assessment and respond to questions about their mental health.
C. assessment completed: Completing the assessment is important, but it should not be prioritized over managing the client's immediate physical pain, which is currently hindering their ability to participate.
D. client understood the importance of the assessment: The client’s understanding of the assessment’s importance is less critical than addressing their immediate physical discomfort, which is a more pressing concern in this scenario.
Correct Answer is B
Explanation
A. Chemical agents: Chemical agents (e.g., tobacco smoke, asbestos) are significant carcinogens but are not the most influential across all types of cancer.
B. Environmental factors: Environmental factors, including exposure to radiation, chemicals, and lifestyle choices, have a broad impact on cancer development. This is the most comprehensive factor, as it encompasses various elements that contribute to cancer risk.
C. Viruses: Certain viruses (e.g., HPV, Hepatitis B) are linked to specific cancers, but they are not the primary cause of most cancers.
D. Defective genes: Genetic mutations play a critical role in cancer development, but they are often triggered by environmental factors, making environmental factors the most significant overall.
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