Parents frantically rush their child to the ED, where they report ...

[madam-professor]

Parents frantically rush their child to the ED, where they report that she got into some lead at the house of a friend who makes lead fishing weights. The prescriber confirms lead poisoning and orders calcium EDTA.
 
  What is the correct initial method of administering this medication? a. Slowly, over 1 hour, as an IV infusion
  b. Intramuscularly (IM) twice daily for 3 to 5 days
  c. Orally for 7 days
  d. By suppository for 5 consecutive days

Question 2

A nurse is caring for a type I diabetic patient who is to begin taking propranolol (Inderal). What is the most important information about this medication that should be included in the patient education?
 
  a. Monitor your blood glucose level for hypoglycemia.
  b. Get plenty of rest at night.
  c. If you feel as if you are getting a cold, take an over-the-counter nasal deconges-tant immediately.
  d. Stop the medication if you feel sick and call the prescriber.

[TINA]

Answer to Question 1

B
Edetate calcium disodium (calcium EDTA) is administered to children twice daily intramuscu-larly for 3 to 5 days; then, after a pause of 4 days or longer, a second course is given.
The drug may be administered intravenously to adults but not children.
Calcium EDTA is not administered orally or by suppository.

Answer to Question 2

A
Propranolol can impede early recognition of insulin-induced hypoglycemia by masking symptoms of hypoglycemia.
Weakness and fatigue are side effects of propranolol, therefore rest is important; however, this would not be the most important information to teach the diabetic patient compared to monitor-ing the glucose level for hypoglycemia.
Propranolol should not be taken with over-the-counter cold medications or nasal decongestants.
Propranolol should not be stopped abruptly, because it may cause rebound hypertension, rebound tachycardia, or an anginal attack. If the patient feels sick, the prescriber should be called and asked what steps the patient should take with regard to the medication.

[madam-professor]

TY

[TINA]

You're welcome