A client calls the nurse help-line and says, My friend and I have ...

[moongchi]

A client calls the nurse help-line and says, My friend and I have been swimming and drinking beer all day and he took a couple of swigs of Robitussin DM (dextromethorphan) about 15 minutes ago. Now he is acting funny and seeing things. What should the nurse consider when formulating a response?
 
  1. The patient will need dialysis treatment to reverse overdose.
  2. This is an opioid drug.
  3. Dextromethorphan is very addicting.
  4. Dizziness is one of the adverse effects of this drug.
  5. Abuse of this drug can result in coma.

Question 2

What is the first step in drug transport?
 
  1. Metabolism
  2. Distribution
  3. Excretion
  4. Absorption

[bdobbins]

Answer to Question 1

4,5
Rationale 1: There is no specific treatment for overdose.
Rationale 2: Dextromethorphan is a nonopioid.
Rationale 3: This drug is not addictive.
Rationale 4: Dizziness and drowsiness occur in some patients.
Rationale 5: In abuse situations, dextromethorphan can cause CNS toxicity and coma.
Global Rationale: Dizziness and drowsiness occur in some patients. In abuse situations, dextromethorphan can cause CNS toxicity and coma. There is no specific treatment for overdose. Dextromethorphan is a nonopioid. This drug is not addictive.

Answer to Question 2

4

Rationale 1: Metabolism is the third step in drug transport.
Rationale 2: Distribution is the second step in drug transport.
Rationale 3: Excretion is the fourth step in drug transport.
Rationale 4: Absorption is the first step in drug transport.

Global Rationale: Absorption is the first step in drug transport. Distribution is the second step in drug transport. Metabolism is the third step in drug transport. Excretion is the fourth step in drug transport.

[moongchi]

Excellent

[shailee]

Thanks for the timely response, appreciate it