NCLEX PN Practice Questions Practice Question
The nurse is caring for a client who has been in alcohol detoxification for one week. The client has slurred speech and is bumping into doorframes and walking unsteadily. What is the most appropriate initial action by the nurse?
Correct Answer: A
Rationale: Assessing for Wernicke-Korsakoff syndrome is crucial as it can occur due to thiamine deficiency in individuals with alcohol use disorder. Symptoms like slurred speech and ataxia indicate potential neurological complications, making this assessment a priority.
Asking for a blood alcohol level may provide information, but it does not address the immediate neurological concerns. Requesting a neurology consult is premature without first evaluating for Wernicke-Korsakoff syndrome. Administering diazepam might be inappropriate if the client is experiencing neurological deficits, as it could mask important symptoms that need assessment.
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