The nurse is interviewing a 50-year-old with a suspected cognitive disorder. The client has a long history of alcoholism
When the nurse asks if he is employed, the client replies that he is currently employed as a conductor on a national railway system. The client's wife takes the nurse aside and informs her that the client has not worked for several years and never worked for the railway. The nurse attributes the client's answer to which of the following explanations?
A) The client is ashamed that he is unemployed and trying to cover for it.
B) The client may be manipulating the nurse.
C) The client may be going through alcohol withdrawal.
D) The client may have Wernicke-Korsakoff syndrome.
Ans: D
Feedback:
Wernicke-Korsakoff syndrome usually is found in the 40- to 70-year-old client with alcoholism and a history of steady and progressive alcohol intake. In time, this person develops a vitamin B1 (thiamin) deficiency that directly interferes with the production of the brain's main nutrient, glucose, resulting in the symptomatology of this syndrome (Sadock and Sadock, 2003). A client with this disorder has great difficulty with recent memory, specifically the ability to learn new information. Because of the inability to recall recent events, the individual fills in memory gaps with fabricated or imagined data (confabulation).
You might also like to view...
What nutritional component should be altered in the infant with heart failure (HF)?
a. Decrease in fats b. Increase in fluids c. Decrease in protein d. Increase in calories
A triage nurse in the emergency department is responsible for deciding who is seen first—the most unstable patient versus the patient who is merely uncomfortable. Which of the following patients should be seen first by the emergency physicians?
a. Patient scheduled to arrive by helicopter in acute chest pain with normal troponin levels at the originating hospital b. Patient dropped off by "friends" following a night of alcohol and drug use c. Patient who drove himself to the emergency department following a stab wound to the abdomen d. Patient who arrives with gastrointestinal bleeding whose blood pressure is 85/40 mm Hg and heart rate is 120 beats/min.
Order: Thorazine 10 mg, IM (deep), STAT Available: How many mL will be given?
What will be an ideal response?
The client has been ordered Cefazolin. The nurse anticipates an increase in the client's _____ from this medication?
a. BUN and serum creatinine b. serum potassium c. serum calcium d. serum white blood cells