Author Question: During detoxification, an alcoholic client becomes hypoglycemic. Which of these actions should the ... (Read 15 times)

gonzo233 · **on:** Jul 22, 2018

During detoxification, an alcoholic client becomes hypoglycemic. Which of these actions should the nurse take FIRST?

a. Administer dextrose.
b. Encourage the client to eat to minimize withdrawal symptoms.
c. Give the client thiamine prior to dextrose administration.
d. Administer oxygen before starting an IV.

Question 2

A nurse obtains a blood pressure reading on a 5-year-old client. While the client is in good health, has been cooperative, and appears to be calm, the reading is higher than normal for a child this age. Which of these actions should the nurse take?

a. Assess the need for a larger cuff.
b. Use a smaller cuff.
c. Recheck the blood pressure again at the end of the assessment.
d. Report this finding to the health care provider immediately.

Carissamariew · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Alcohol damages the stomach and esophagus by irritating the mucosa and causing inflammation and ulcers. Pancreatitis can also occur. Thiamine deficiency caused by alcoholism leads to Wernicke's encephalopathy and brain deterioration.

Answer to Question 2

A
The size of the cuff is determined by the size of the child's arm or leg. The bladder of the cuff is two-thirds of the width of the limb. If the bladder is too small, the pressure will be falsely high; if the bladder is too large, it will be falsely low.