A client with a history of alcohol abuse seeks medical attention for the onset of new symptoms. For which signs of a vitamin deficiency should the nurse assess this client? (Select all that apply.)
a. Projectile vomiting and diarrhea
b. Extreme tiredness and irritability
c. Wide fluctuations in blood glucose
d. Blurred vision and difficulty seeing in the dark
e. Numbness and tingling along with loss of balance
b. Extreme tiredness and irritability and e. Numbness and tingling along with loss of balance
Alcoholism is the most frequent cause of thiamine deficiency. Thiamine deficiency alters nervous system functioning, resulting in problems with numbness, tingling in the extremities, loss of balance (ataxia), muscle weakness, and other neurological changes. Early signs of thiamine deficiency include headaches, extreme fatigue, and irritability. Vomiting and diarrhea are not usually related to vitamin deficiency, although prolonged periods of either may produce a fluid and electrolyte deficiency. Visual problems are most often associated with vitamin A deficiency. Blood glucose fluctuations are related to macronutrient intake, especially carbohydrates.
Alcoholism is the most frequent cause of thiamine deficiency. Thiamine deficiency alters nervous system functioning, resulting in problems with numbness, tingling in the extremities, loss of balance (ataxia), muscle weakness, and other neurological changes. Early signs of thiamine deficiency include headaches, extreme fatigue, and irritability. Vomiting and diarrhea are not usually related to vitamin deficiency, although prolonged periods of either may produce a fluid and electrolyte deficiency. Visual problems are most often associated with vitamin A deficiency. Blood glucose fluctuations are related to macronutrient intake, especially carbohydrates.
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