The nurse is caring for a patient who has a history of chronic alcohol abuse. The patient is confused and exhibits nystagmus and blurred vision. Which vitamin will the nurse expect to administer to this patient?
a. Nicotinic acid
b. Pyridoxine
c. Riboflavin
d. Thiamine
ANS: D
Alcoholics can develop Wernicke-Korsakoff syndrome characterized by these symptoms related to thiamine deficiency. Thiamine must be given quickly to prevent progression of the disease causing irreversible brain damage.
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A patient in the ED states he can't remember what happened before he lost control of his semi-trailer. This is an example of
A) wishful thinking. B) avoidance. C) guilt. D) retrograde amnesia.
A patient telephones a crisis intervention hotline. The nurse assigned to this center assesses that the patient is experiencing a crisis. What is the most appropriate action for the nurse to take?
a. Take control of the situation and tell the patient what needs to be done. b. Define the problem at hand and ensure that the patient is safe. c. Ask the patient how he would like to han-dle the crisis and follow through. d. Ask the patient to list all of his problems and prioritize which to deal with first.
After an infection control in-service, which statement by the nurse demonstrates an accurate understanding of the mode of transmission of influenza?
a. "I will not develop the infection unless I have physical contact with the client." b. "I should wear an N95 respirator to pro-vide care for the client with influenza." c. "I should try to stay at least 3 feet away from the client, if at all possible." d. "The infection is spread through droplets suspended in the air and inhaled."
The nurse notes a low-pitch early systolic murmur during a cardiovascular assessment. Which quality will the nurse document when recording this murmur in the patient's medical record?
1) Rough 2) Harsh 3) Blowing 4) Rumbling