Which clinical conditions would the nurse most likely associate with a client who has a documented history of alcoholism?
1. Carbohydrate deficiency
2. Thiamine deficiency
3. Scurvy
4. Vitamin A deficiency
5. Pellagra
2,3,4,5
Rationale 1: Alcohol is high in carbohydrates.
Rationale 2: Thiamine deficiency is commonly seen in alcoholic clients.
Rationale 3: Alcoholics are among those at highest risk for vitamin C deficiency or scurvy.
Rationale 4: Vitamin A deficiency is caused by prolonged dietary deprivation that may occur in alcoholism.
Rationale 5: Pellagra is a niacin deficiency that is commonly seen in alcoholic clients.
Global Rationale: Thiamine deficiency, scurvy, vitamin A deficiency, and pellagra are all common in alcoholics. Alcohol is high in carbohydrates.
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