A client with a history of long-term alcohol abuse is diagnosed with Wernicke's encephalopathy. The nurse would plan the client's care with the knowledge that which treatment will be needed first?
a. Large volumes of intravenous fluids to rehydrate
b. Bolus of high-concentration glucose solution to treat hypoglycemia
c. Intravenous thiamine to address nutritional deficiency
d. Administration of stimulants to counteract depression
ANS: C
The client must receive thiamine first to treat the nutritional deficiency that is the source of the condition.
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The type of incontinence that is characterized by a large residual urine volume is which of the following?
a. Urge incontinence b. Stress incontinence c. Overflow incontinence d. Functional incontinence
An autopsy is being performed on a 44-year-old female who died unexpectedly of heart failure. Which of the following components of the pathologist's report is most suggestive of a possible history of poorly controlled blood pressure?
A) "Scarring of the urethra suggestive of recurrent urinary tract infections is evident." B) "Bilateral renal hypertrophy is noted." C) "Vessel wall changes suggestive of venous stasis are evident." D) "Arterial sclerosis of subcortical brain regions is noted."
The client takes Ortho-Novum 1/35 for 3 months and calls the clinic to report she is having vaginal bleeding. What is the best plan of the nurse at this time?
1. Tell the client to go to the emergency department for medical treatment. 2. Ask the client if she has been having sexual intercourse recently. 3. Ask the client if she is bleeding between cycles or if this is her regular period. 4. Tell the client not to worry if the bleeding resembles her monthly flow.
The client's blood pressure has gradually decreased in the last 2 days. Which condition would cause this change?
A) the client who has unresolved pain issues B) the client who has been given 3 units of whole blood C) the client who has had persistent diarrhea D) the client who is to be discharged home on hospice