Author Question: A patient who has been taking diphenoxylate with atropine (Lomotil) is very drowsy and has a ... (Read 81 times)

clippers! · **on:** Jul 23, 2018

A patient who has been taking diphenoxylate with atropine (Lomotil) is very drowsy and has a respiratory rate of 10 bpm. The roommate, who brought the patient to the emergency department, states that the patient took a whole bottle of the drug. Which nursing action is indicated?

1. Administer a beta blocker
2. Administer naloxone
3. Administer high volume intravenous fluids
4. Administer activated charcoal

Question 2

A client reports restlessness, nervousness, irritability, and insomnia. The client denies caffeine intake, but has been taking an OTC pain reliever for a headache. What is the best explanation by the nurse?

1. These symptoms indicate that the client is allergic to the OTC pain reliever.
2. These symptoms are normal side effects of a headache.
3. Caffeine is added to some OTC pain relievers.
4. These symptoms are normal side effects of OTC pain relievers.

upturnedfurball · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

2
Rationale 1: There is no indication that a beta blocker is needed.
Rationale 2: Naloxone is a narcotic antagonist to reverse the effects of opioid overdose.
Rationale 3: The patient will need intravenous access, but there is no information to suggest high volume IV fluids are necessary.
Rationale 4: Activated charcoal will not reverse the patient's respiratory depression.

Global Rationale: Naloxone is a narcotic antagonist to reverse the effects of opioid overdose. The patient will need intravenous access, but there is no information to suggest high volume IV fluids are necessary. Activated charcoal will not reverse the patient's respiratory depression. There is no indication that a beta blocker is needed.

Answer to Question 2

3

Rationale 1: These are not symptoms of an allergy.
Rationale 2: These are symptoms of increased caffeine intake.
Rationale 3: Caffeine is added to some OTC pain relievers, such as Excedrin.
Rationale 4: These are symptoms of increased caffeine intake.

Global Rationale: Caffeine is added to some OTC pain relievers, such as Excedrin. These symptoms are not indicative of an allergic reaction, they are not normal side effects of headache, and they are not normal side effects of OTC pain relievers.