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Author Question: The nurse is caring for a patient with chronic alcoholism. Which vitamins should the nurse expect ... (Read 56 times)

serike

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on: Jun 25, 2018
The nurse is caring for a patient with chronic alcoholism. Which vitamins should the nurse expect this patient to be prescribed?
 
  Select all that apply.
  1. thiamine (vitamin B1)
  2. folic acid
  3. cyanocobalamin (vitamin B12)
  4. vitamin E
  5. potassium chloride

Question 2

A patient has overdosed on benzodiazepines and is admitted in a comatose state. What is the best order for treatment?
 
  Choice 1. Clear airway
  Choice 2. Prepare to intubate
  Choice 3. Prepare for IV fluids
  Choice 4. Prepare for gastric lavage
  Choice 5. Institute seizure precautions
  Choice 6. Prepare for possible dialysis


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djpooyouma

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Reply #1 on: Jun 25, 2018
Answer to Question 1

Correct Answer: 1, 2

Patients using alcohol over a long period of time will have a vitamin deficiency, especially of thiamine and folic acid. These two vitamins help prevent Wernicke encephalopathy. The other vitamins may be important, but would be found in a multivitamin. Potassium chloride is incorrect as it is a mineral/electrolyte.

Answer to Question 2

Correct Answer: 1,2,3,4,5,6

With the overdosed and comatose patient, the airway is the first consideration (follows the ABCs). Next, the nurse needs to prepare for intubation of the patient as this is the second priority. The nurse will need to prepare for IV fluids. Gastric lavage may be done to try and remove any remaining drug. Seizure precautions are instituted as the patient may experience seizure activity. The patient may need dialysis to remove the drug that has reached the blood.


serike

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Reply #2 on: Jun 25, 2018
Correct answers!


djpooyouma

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Reply #3 on: Jun 25, 2018
Great! Please up vote :D


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