A person with prolonged alcohol dependence is confused, unsteady, and has abnormal eye movements. The person is about to receive intravenous glucose for low blood sugar. Which intervention should the nurse anticipate?
Correct answer: A. Give thiamine before glucose when possible
- A. Give thiamine before glucose when possible
- B. Give a large dose of haloperidol first
- C. Restrict fluids until orientation improves
- D. Encourage the person to eat a high-protein meal
Explanation
Confusion, ataxia, and abnormal eye movements suggest possible Wernicke encephalopathy caused by thiamine deficiency. Thiamine is given before glucose when possible because glucose can worsen acute thiamine deficiency.
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Psychiatric emergencies include suicidal behavior, homicide risk, severe agitation, panic, acute psychosis, delirium, overdose, and withdrawal states. Students examine rapid risk assessment, crisis intervention, de-escalation, environmental safety, emergency medication, observation levels, and the immediate priorities that differ from routine psychiatric nursing care.
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