A malnourished patient with long-term alcohol use has confusion, unsteady gait, and abnormal eye movements. Which treatment should the nurse anticipate first?
Correct answer: A. Intravenous thiamine administration
- A. Intravenous thiamine administration
- B. Oral iron supplementation
- C. Intramuscular vitamin K administration
- D. Increased dietary calcium intake
Explanation
The findings suggest Wernicke encephalopathy caused by thiamine deficiency. Thiamine is given promptly, commonly before glucose, because glucose administration can worsen neurological injury in severe deficiency.
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About Substance Use Disorders
Substance use disorders cover problematic use, intoxication, tolerance, dependence, withdrawal, and the effects of alcohol, opioids, sedatives, stimulants, cannabis, and other substances. The topic includes assessment, overdose and withdrawal management, detoxification, motivational interviewing, relapse prevention, and the difference between physical dependence and addiction.
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