A client is prescribed dimercaprol as treatment for acute ...

[itsmyluck]

A client is prescribed dimercaprol as treatment for acute poisoning. The nurse understands that this medication is used as an antidote for which agents?
 
  Standard Text: Select all that apply.
  1. Arsenic
  2. Gold
  3. Mercury
  4. Lead
  5. Nickel

Question 2

A client is being treated for acute ethanol overdose. What interventions will the nurse perform when caring for this client?
 
  Standard Text: Select all that apply.
  1. Ensure placement of an intravenous access device.
  2. Ensure that dextrose 5 and water is available for infusion.
  3. Notify the health care provider with serum electrolyte levels.
  4. Monitor urine output.
  5. Administer chelating medication as prescribed.

[tanna.moeller]

Answer to Question 1

Correct Answer: 1,2,3, 4
Rationale 1: Dimercaprol is a chelating agent that neutralizes the effects of various heavy metals such as arsenic.
Rationale 2: Dimercaprol is a chelating agent that neutralizes the effects of various heavy metals such as gold.
Rationale 3: Dimercaprol is a chelating agent that neutralizes the effects of various heavy metals such as mercury.
Rationale 4: Dimercaprol is used as an adjunct to EDTA in the treatment of lead encephalopathy.
Rationale 5: This medication is not used to remove nickel.
Global Rationale: Dimercaprol is a chelating agent that neutralizes the effects of various heavy metals such as arsenic gold and mercury. It is also used as an adjunct to EDTA in the treatment of lead encephalopathy. It is not useful in the removal of nickel.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: The client will need intravenous fluids.
Rationale 2: Dextrose 5 and water may be prescribed to treat hypoglycemia, which can occur as an effect of ethanol overdose.
Rationale 3: Electrolyte imbalances can occur because of acute ethanol overdose and should be reported to the health care provider to ensure appropriate treatment.
Rationale 4: Urine output should be monitored for all clients being treated for overdose.
Rationale 5: Chelating medications are not used for ethanol overdose.
Global Rationale: The client will need intravenous fluids. Dextrose 5 and water may be prescribed to treat hypoglycemia, which can occur as an effect of ethanol overdose. Electrolyte imbalances can occur because of acute ethanol overdose and should be reported to the health care provider to ensure appropriate treatment. Urine output should be monitored for all clients being treated for overdose. Chelating medications are not used for ethanol overdose.