This topic contains a solution. Click here to go to the answer

Author Question: A patient is brought to the emergency department after ingestion of an unknown substance. The ... (Read 42 times)

michelleunicorn

  • Hero Member
  • *****
  • Posts: 565
A patient is brought to the emergency department after ingestion of an unknown substance. The patient has been vomiting and complains of abdominal pain.
 
  The nurse observes that the patient's oral mucous membranes are dry, the heart rate is 88 beats per minute, and the blood pressure is 90/60 mm Hg. The nurse will prepare to initially:
  a. administer an antiemetic.
  b. give activated charcoal.
  c. infuse normal saline as an IV bolus.
  d. obtain blood for toxicology testing.

Question 2

A child is admitted to the hospital after a routine lead screen reveals an elevated serum lead level. The prescriber has ordered edetate calcium disodium (calcium EDTA) as a chelating agent. During this drug treatment, the nurse will expect to:
 
  a. collect a daily urine specimen.
  b. give the medication on an empty stomach.
  c. monitor the child's heart rate and blood pressure.
  d. request orders for liver function tests.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Melissahxx

  • Sr. Member
  • ****
  • Posts: 304
Answer to Question 1

ANS: C
Initial treatment for poisoning involves supportive care. IV infusions of normal saline or Ringer's solution should be given to restore volume lost by vomiting. Antiemetics are not indicated. Activated charcoal is given when the ingested substance is known and only if it will help neutralize the substance. Toxicology testing is important, but supportive care is provided initially.

Answer to Question 2

ANS: A
Edetate calcium disodium (calcium EDTA) is administered to children as a chelating agent for lead poisoning. Its principle toxicity is renal tubular necrosis, as evidenced by hematuria and proteinuria. Daily urinalysis should be performed. The medication is given IV or IM, not orally. The drug does not have significant effects on the heart rate or blood pressure. It does not cause hepatotoxicity.




michelleunicorn

  • Member
  • Posts: 565
Reply 2 on: Jul 23, 2018
:D TYSM


Sarahjh

  • Member
  • Posts: 370
Reply 3 on: Yesterday
Excellent

 

Did you know?

The senior population grows every year. Seniors older than 65 years of age now comprise more than 13% of the total population. However, women outlive men. In the 85-and-over age group, there are only 45 men to every 100 women.

Did you know?

Liver spots have nothing whatsoever to do with the liver. They are a type of freckles commonly seen in older adults who have been out in the sun without sufficient sunscreen.

Did you know?

On average, someone in the United States has a stroke about every 40 seconds. This is about 795,000 people per year.

Did you know?

In 2012, nearly 24 milliion Americans, aged 12 and older, had abused an illicit drug, according to the National Institute on Drug Abuse (NIDA).

Did you know?

The people with the highest levels of LDL are Mexican American males and non-Hispanic black females.

For a complete list of videos, visit our video library