A patient who is known to be a heavy drinker is brought to the emergency department with ataxia and confusion. The patient cannot remember the events of the previous day
The examina-tion reveals nystagmus, and the patient reports having double vision. The nurse will expect to administer which vitamin to this patient? a. Ascorbic acid (vitamin C) IV
b. Intramuscular pyridoxine (vitamin B6)
c. Intravenous thiamine (vitamin B1)
d. Nicotinic acid (niacin) PO
C
Alcoholics who are malnourished have a form of thiamine deficiency called Wernicke-Korsakoff syndrome, which is characterized by nystagmus, diplopia, ataxia, confusion, and short-term memory loss. Parenteral thiamine is indicated for treatment. Ascorbic acid is given to treat vita-min C deficiency, or scurvy. Pyridoxine is given for vitamin B6 deficiency, also common in al-coholics, but this patient does not have the symptoms of seborrheic dermatitis and peripheral neuropathy. Nicotinic acid is used for niacin deficiency, which is characterized by severe dry, rough skin.
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The nurse is administering a controlled substance that is ordered in a smaller dose than what is available. What should the nurse do with the remaining amount of medication?
a. Save the remaining medication until the patient is scheduled to take the medication again. b. Flush the remaining medication in the toilet in the patient's bathroom. c. Ask another nurse to witness the waste, sign the inventory report, and document the situation. d. Administer the dose that is available and not the smaller dose ordered.
The nurse is questioning if information about another registered nurse should be reported to the state board of nursing. Which of the following should be reported to the state?
a. The nurse who is temporarily moving back home to live with her parents b. The nurse who does not attend mandatory in-service education programs c. The nurse who has a chemical addiction d. The nurse who has an abusive partner
The aim to remove a disease from a large geographic area is called:
1. Prevention 2. Control 3. Elimination 4. Eradication
The nurse has completed the education for a client prescribed diphenhydramine (Benadryl) for allergies. Which statement made by the client indicates an understanding of the teaching?
A. "Drowsiness is common but should lessen over time." B. "If this medication makes my nose run, I can use a nasal spray." C. "I need to watch my intake of sodium with this medication." D. "I cannot take this medication with pseudoephedrine (Sudafed)."