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Author Question: A client with a history of heavy alcohol use, whose last drink was 24 hours ago, is seen in the ... (Read 65 times)

jjjetplane

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A client with a history of heavy alcohol use, whose last drink was 24 hours ago, is seen in the emergency department. The client is oriented but is tremulous, weak, and sweaty and has some gastrointestinal (GI) symptoms.
 
  The nurse recognizes these symptoms as typical of which of the following? A) Alcohol withdrawal syndrome
  B) Continuing intoxication
  C) Delirium tremens
  D) Korsakoff's syndrome

Question 2

A psychiatrist prescribes a monoamine oxidase inhibitor (MAOI) for a client. Which foods should the nurse teach the client to avoid?
 
  A. Pepperoni pizza and red wine
  B. Bagels with cream cheese and tea
  C. Apple pie and coffee
  D. Potato chips and diet cola



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kaykay69

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Answer to Question 1

A
Feedback: Withdrawal from alcohol produces shakiness, weakness, diaphoresis, and GI symptoms. These are not symptoms of continuing intoxication. Delirium tremens produce hypertension, delusions, hallucinations, and agitated behavior. Korsakoff's syndrome is a type of dementia caused by long-term, excessive alcohol intake that results in a chronic thiamine or vitamin B6 deficiency.

Answer to Question 2

A
The nurse should instruct the client to avoid pepperoni pizza and red wine. Foods with high tyramine content can induce hypertensive crisis within 2 hours of ingestion. Symptoms of hypertensive crisis include severe occipital and/or temporal pounding headaches with occasional photophobia, sensations of choking, palpitations, and a feeling of dread.




kaykay69

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