ATI meds for alcohol, gout & brain regions

A nurse is completing the admission history for a client who reports drinking 1 pint of whiskey every day for 6 years. The clients last drink was 10 hours ago. Which of the following meds should nurse plan to administer upon admission? a. Chlordiazepoxide b. Disulfiram c Naloxone d. Acetaminophen

A - give for alcohol withdrawal - benzos are safe and can stabilize vital signs, reduce intensity of symptoms and decrease risk of seizures and delirium tremens

A nurse is assessing a client who is receiving disulfiram for alcohol aversion therapy. The client is experiencing palpitations and reports nausea, headache, and extreme thirst. The nurse should identify that which of the following situations is occurring? a. The client is experiencing mild acetaldehyde syndrome b. The client is having delirium tremens c. The cleint is experiencing disulfiram toxicity d. The client is not having a theraputic response to disulfiram

A - manifestations are indication of acetaldehyde syndrome, which occurs when alcohol consumption is combined with disulfiram use.

Caring for client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the provider for which of the following medications? a. Colchicine b. Allopurinol c. Probenecid d. Pegloticase

A - will get relief from attack within hours of receiving colchicine

Medication that reduces unpleasant feelings associated with abstinence such as anxiety, Dysphagia, and tension

Acamprosate

Medication of choice for chronic tophaceous gout NOT acute gout attack

Allopurinol - lowers uric acid levels in blood - adverse effects include renal injury, rash/fever

A nurse is caring for a client who has alcohol use disorder. Following alcohol withdrawal, which of the following medication should the nurse expect to administer to the client during maintenance? a. Methadone b. Disulfiram c. Chlordiazepoxide d. Naloxone

B - administer as a deterrent to prevent future alcohol use. C: NO, chlorediazepine is not used to help with maintenance

Caregiver tells nurse she has been administering prescribed lorazepam, 1 mg 3 times/day to client for restlessness and anxiety over past few days. For which of the following adverse effects should nurse assess the client? a. Low grade fever b. Sedation c. Diuresis d. Tonic clonic seizure

B - lorazepam is Benzo with anti anxiety and sedative effects. Older adults are especially at risk for CNS depression even with low doses of benzos

Motor control and learning

Basal ganglia

Nurse is caring for a client who has Wernicks-Korsakoff syndrome. Which of the following findings should the nurse expect? a. Increased arousal b. Arrhythmias c. Confusion d. Esophageal pain

C

A nurse is assessing a female client who reports severe joint pain. The nurse should identify that which of the following factors places the client at risk for gout? a. Perimenopause b. Migraine headaches c. Diuretic use d. Irritable bowel syndrome

C - gout is a systemic disorder that affects the joints as a result of high uric acid levels in the blood

A nurse is providing teaching for a client who has gout and a prescription for allopurinol. Which of the following statements by the client should indicate to the nurse that the teaching was effective? a. I should start taking this med at 800 mg daily b. I will have an increased risk for diabetes with this medication c. I will increase my fluids to at least 2 liters per day d. I should take this medication twice daily

C: CORRECT - adverse effect is renal injury so clients are encouraged to drink at least 2000 mL/day a. Initials dosage begins at 100 mg daily b. Can cause hypoglycemia, and not associated with causing diabetes d. Prescribed once daily

Gout and has new prescription for allopurinol. Nurse should instruct client to discontinue taking the med for which of the following adverse effects? a. Nausea b. Metallic taste c. Fever d. Drowsiness

C: CORRECt - should discontinue if fever or rash develops indicates fatal hypersensitivity reaction

Region of brain involved in complex thought processes and higher functions

Cerebral cortex

First line medication for client experiencing manifestations of acute alcohol withdrawal?

Chlordiazepoxide - long acting benzo

Medication of choice for acute gout attack

Colchicine

A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following medications should the nurse prepare to administer? a. Carbamazepine b. Clonidine c. Propranolol d. Lorazepam

D

A nurse is providing teaching to a client who recently completed detoxification from alcohol and has a new prescription for acamprosate. Which of the following statements should the nurse make? a. You will get very sick if you drink alcohol while taking this med b. The med will be administered as a sub-Q injection c. You should take this medication on an empty stomach d. This med might cause you to have diarrhea

D: CORRECT. C: no, take with meals

Helps client who has alcohol use disorder avoid drinking

Disulfiram

Region of brain regulation of body temperature

Hypothalamus

Medication for client experiencing manifestations of acute alcohol withdrawal AND nauseous or vomiting?

Lorazepam

Medication that decreases clients craving for alcohol

Naltrexone

Another first choice treatments for acute gout attack

Naproxen - NSAID

Pt with gout must restrict what in diet?

Purine this includes limiting; whole grain bread & cereal, oatmeal, wheat germ, legumes, wheat bran, meat gravy, fresh and saltwater fish, beans, organ meats, mushrooms, green peas, spinach, asparagus, cauliflower, yeasts

Region of brain responsible for language and speech comprehension

Wernicks area