The nurse is teaching a class about potential poisons in the home ...

[viki]

The nurse is teaching a class about potential poisons in the home and options for treatment to a group of parents with small children. One of the parents asks the nurse about the use of syrup of ipecac.
 
  The nurse discusses syrup of ipecac and attempts to verify that the parents understand the information. Which statement by one of the parents indicates a need for further teaching? a. Ipecac should not be used routinely.
  b. Ipecac should not be administered to children with a reduced level of con-sciousness.
  c. When used, ipecac should be administered within 1 hour of the poisoning.
  d. Ipecac is useful when corrosive acids have been ingested.

Question 2

An elderly patient is taking an H1 blocker. The nurse is providing patient education. The nurse discusses the nonsedative effects of H1 blockers. Which statement made by the patient would indicate the need for further teaching?
 
  a. I may experience a little dizziness.
  b. I will experience relief of my allergies.
  c. Fatigue is an unexpected effect of this medication.
  d. I may have some urinary hesitancy.

[harveenkau8139]

Answer to Question 1

D
Syrup of ipecac should not be used if it is suspected that the person ingested a corrosive agent. Vomiting could lead to further corrosive effects on the already exposed esophagus. Further teaching is needed.
Ipecac should not be used routinely; no further teaching is needed.
Ipecac should not be administered to those with a history of seizures and/or a reduced level of consciousness; no further teaching is needed.
Ipecac is seldom used anymore, but if it is used, it should be administered within 60 minutes of the poisoning; no further teaching is needed.

Answer to Question 2

C
Older patients are at risk for some fatigue; this statement indicates that the patient needs more teaching about the H1 blockers.
The elderly are especially sensitive to dizziness, incoordination, and confusional states; no further teaching is necessary.
The H1 blocker should provide relief of the allergy symptoms; no further teaching is required.
Urinary hesitancy is a possible side effect of antihistamines; no further teaching is needed.

[viki]

Excellent

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