Practice Quiz

NCLEX-PN

Category - Psychosocial Integrity

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A police officer brings a client suspected of alcohol intoxication to the emergency department. Slurring of speech, uncoordinated movements, confusion, yellowish discoloration of the skin and sclera, and enlarged liver are noted on assessment. The nurse expects which of the following physician orders?
  1. Initiation of bleeding precautions
  2. Administration of disulfiram
  3. Administration of vitamin B-1
  4. Administration of naloxone
Explanation
Answer: C - The client is demonstrating signs of alcohol abuse, which is manifested by jaundice, enlarged liver, and vitamin B deficiency. The nurse should expect a vitamin B-1 (thiamine) medication order for the client. The nurse should initiate seizure precautions. Disulfiram is not administered within the first 12 hours after the alcohol intake; naloxone is given to clients with opioid toxicity.
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