Author Question: The nurse receives a patient having an acute myocardial infarction (MI) to the emergency department. ... (Read 34 times)

NguyenJ · **on:** Jul 23, 2018

The nurse receives a patient having an acute myocardial infarction (MI) to the emergency department. What drug will the nurse administer before transferring the patient to a larger facility?

A) Anagrelide (Agrylin)
B) Clopidogrel (Plavix)
C) Ticlopidine (Ticlid)
D) Tenecteplase (TNKase)

Question 2

The charge nurse, working on a pediatric unit, sees an order was written to administer chloramphenicol (Chloromycetin) to one of the children assigned to a new graduate nurse.

The charge nurse would make sure the new graduate was familiar with what possible adverse effects of this medication? (Select all that apply.) A) Gray syndrome
B) Bone marrow depression
C) Aplastic anemia
D) Liver failure
E) Hearing loss

cpetit11 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
Arrange to administer tenecteplase to reduce mortality associated with acute MI as soon as possible after the onset of symptoms because the timing for the administration of tenecteplase is critical to resolve the clot before permanent damage occurs to the myocardial cells. Anagrelide is used to treat essential thrombocytopenia. Clopidogrel is used to treat patients who are at risk for ischemic events; ticlopidine is used to reduce the risk of thrombotic stroke.

Answer to Question 2

A, B, C
Feedback:
Chloramphenicol (Chloromycetin), an older antibiotic, prevents bacterial cell division in susceptible bacteria. Because of the potential toxic effects of this drug, its use is limited to serious infections for which no other antibiotic is effective. Chloramphenicol produces a gray syndrome in neonates and premature babies, which is characterized by abdominal distention, pallid cyanosis, vasomotor collapse, irregular respirations, and even death. In addition, the drug may cause bone marrow depression, including aplastic anemia that can result in death. Liver failure and hearing loss are not usually associated with this drug.