A client is found at home unconscious with an empty bottle of ...

[silviawilliams41]

A client is found at home unconscious with an empty bottle of diltiazem (Cardizem) near the couch. The emergency response team prepares to administer which antidote?
 
  1. Naloxone
  2. Pyridoxine
  3. Calcium
  4. Atropine

Question 2

Clients arrive in the emergency department complaining of difficulty breathing and eye tearing after a bomb explosion in a nearby store. The priority intervention of the health care team initially should be to:
 
  1. notify local law enforcement.
  2. flush the skin and eyes with water.
  3. complete a history and physical.
  4. identify the offending agent.

[Kedrick2014]

Answer to Question 1

Correct Answer: 3
Rationale 1: Naloxone is not the antidote for calcium channel blockers.
Rationale 2: Pyridoxine is not the antidote for calcium channel blockers.
Rationale 3: IV calcium is the antidote for Cardizem, a calcium channel blocker.
Rationale 4: Atropine is not the antidote for calcium channel blockers.
Global Rationale: IV calcium is the antidote for Cardizem, a calcium channel blocker. The other agents will not reverse the effects of this overdose.

Answer to Question 2

Correct Answer: 2
Rationale 1: Notifying local law enforcement might be an intervention during the initial period but is not the priority.
Rationale 2: The health care team should initially flush the skin and eyes with copious amounts of water to flush the offending agent.
Rationale 3: Completing a history and physical might be an intervention during the initial period but is not the priority.
Rationale 4: Identifying the offending agent might be an intervention during the initial period but is not the priority.
Global Rationale: The health care team should initially flush the skin and eyes with copious amounts of water to flush the offending agent. Notifying law enforcement is not the nurse's first priority. Completing a history and physical and identifying the offending agent are intervention during the initial period but are not the priority.

[silviawilliams41]

TYSM

[smrtceo]

Excellent