The nurse documents signs of Wernicke's encephalopathy in a patient with long-term alcoholism. These signs include (select all that apply):
1. confabulation.
2. ataxia.
3. delirium.
4. decreasing level of consciousness.
5. projectile vomiting.
1, 2, 3, 4
The signs of Wernicke's encephalopathy do not include projectile vomiting.a
PTS: 1 DIF: Cognitive Level: Application REF: 1269
OBJ: 5 TOP: Wernicke's Encephalopathy
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
COMPLETION
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