This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A college student is brought unresponsive to the emergency department by friends, who say that their ... (Read 77 times)

altibaby

  • Hero Member
  • *****
  • Posts: 562
on: Jul 23, 2018
A college student is brought unresponsive to the emergency department by friends, who say that their friend drank more than half of a large bottle of whiskey 3 hours ago. Assessment reveals a blood alcohol level of 0.32.
 
  The vital signs are BP, 88/32 mm Hg; R, 6/min; T, 96.8 F; and P,76/min and weak and thready. The nurse should prepare the patient for which intervention?
  a. IV fluids and stimulants
  b. Charcoal administration
  c. Gastric lavage and dialysis
  d. Naloxone (Narcan) administration

Question 2

A patient who is an active alcoholic is admitted to the hospital for surgery. The nurse reviewing orders for this patient would be correct to question which postoperative medication for this patient?
 
  a. Acetaminophen
  b. Diazepam
  c. Morphine
  d. Thiamine


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

meltdown117

  • Sr. Member
  • ****
  • Posts: 326
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
The average rate at which a person can metabolize alcohol is about 15 mL (0.5 ounce) per hour. The patient in this scenario has consumed more than half of a large bottle of whiskey within 3 hours. Alcohol can be removed from the body by gastric lavage and dialysis. Gastric lavage washes out most of the alcohol if any is left in the gut, and dialysis is implemented to reduce the chance of renal failure and cardiovascular shock. Although intravenous fluids may be appropriate, stimulants are contraindicated for this patient. Charcoal is not indicated in this situation. Naloxone is indicated in opiate overdoses, not alcohol overdoses.

Answer to Question 2

ANS: A
Acetaminophen poses a risk of fatal liver damage in alcoholics, because evidence indicates that even modest alcohol consumption combined with acetaminophen has this effect. Diazepam would probably be useful in this case, because it is used to aid alcohol withdrawal. However, diazepam cannot be taken with alcohol, because the central nervous system (CNS) depressive effects would be compounded. Likewise, morphine is safe as long as it is not given with alcohol. Thiamine is a vitamin that often is deficient in alcoholics, so thiamine would be indicated.


altibaby

  • Member
  • Posts: 562
Reply 2 on: Jul 23, 2018
:D TYSM

debra928

  • Member
  • Posts: 342
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

Dogs have been used in studies to detect various cancers in human subjects. They have been trained to sniff breath samples from humans that were collected by having them breathe into special tubes. These people included 55 lung cancer patients, 31 breast cancer patients, and 83 cancer-free patients. The dogs detected 54 of the 55 lung cancer patients as having cancer, detected 28 of the 31 breast cancer patients, and gave only three false-positive results (detecting cancer in people who didn't have it).

Did you know?

Blood is approximately twice as thick as water because of the cells and other components found in it.

Did you know?

Limit intake of red meat and dairy products made with whole milk. Choose skim milk, low-fat or fat-free dairy products. Limit fried food. Use healthy oils when cooking.

Did you know?

If you use artificial sweeteners, such as cyclamates, your eyes may be more sensitive to light. Other factors that will make your eyes more sensitive to light include use of antibiotics, oral contraceptives, hypertension medications, diuretics, and antidiabetic medications.

Did you know?

Once thought to have neurofibromatosis, Joseph Merrick (also known as "the elephant man") is now, in retrospect, thought by clinical experts to have had Proteus syndrome. This endocrine disease causes continued and abnormal growth of the bones, muscles, skin, and so on and can become completely debilitating with severe deformities occurring anywhere on the body.

Nursing student will find it funny Nursing student will find it funny
Nursing student will understand it Nursing student will understand it
Typical laboratory emergency shower. Typical laboratory emergency shower.
Food, friends, and football . . . a way of life Food, friends, and football . . . a way of life
An educational institution has total direct labor and material costs of $1964 per student. Its ... An educational institution has total direct labor and material costs of $1964 per student. Its ...
Mg can react with HCl to produce the white solid MgCl2 and H2 gas. A student mixes 1.99 g of ... Mg can react with HCl to produce the white solid MgCl2 and H2 gas. A student mixes 1.99 g of ...
Video: Allergic Rhinitis

For a complete list of videos, visit our video library