Author Question: A patient is being treated for symptoms of alcohol withdrawal and has been identified to have a ... (Read 36 times)

kfurse · **on:** Jul 24, 2018

A patient is being treated for symptoms of alcohol withdrawal and has been identified to have a thiamine deficiency. When performing physical assessment on this patient specific to thiamine deficiency, the nurse will focus on

(Select all that apply.)
a. level of consciousness.
b. cardiac status.
c. sensitivity to light.
d. risk for diarrhea.
e. nutrition status.

Question 2

A patient is receiving total parenteral nutrition. Which action(s) will the nurse perform? (Select all that apply.)

a. Assess for electrolyte imbalance.
b. Check residual volume qid.
c. Position the patient in a high Fowler's position.
d. Monitor blood glucose levels.
e. Discard the solution every 24 hours.

pratush dev · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: A, B, E
Signs and symptoms of thiamine deficiency include anorexia, constipation, indigestion, confusion, edema, muscle weakness, cardiomegaly, and heart failure. Assessment will focus on level of consciousness, cardiac status, and nutrition status. Photophobia and diarrhea are not symptoms related to thiamine deficiency.

Answer to Question 2

ANS: A, D, E
Electrolytes are monitored during parenteral nutrition. Hyperglycemia may develop and therefore should be monitored. Solutions are discarded every 24 hours. Checking residual volume qid is not an accurate nursing action. Positioning the patient in a high Fowler's position is not necessary for parenteral nutrition.