Author Question: A client recovering from plutonium poisoning from a nuclear reactor explosion is receiving edetate ... (Read 53 times)

krzymel · **on:** Jul 23, 2018

A client recovering from plutonium poisoning from a nuclear reactor explosion is receiving edetate calcium disodium (Calcium EDTA). What will the nurse do to support this client?

Standard Text: Select all that apply.
1. Administer intravenous fluids as prescribed prior to medication administration.
2. Apply chest leads for continuous cardiac rhythm monitoring.
3. Assess blood pressure frequently.
4. Stop the infusion if the client becomes febrile.
5. Notify the health care provider if the client develops a headache or nasal congestion.

Question 2

A client with spinal stenosis was found unconscious by family members. The client's opioid pain medication and tricyclic antidepressant medication containers were empty. What will the nurse prepare to administer to this client?

Standard Text: Select all that apply.
1. Naloxone (Narcan)
2. Sodium bicarbonate
3. Pyridoxine (vitamin B6)
4. Syrup of ipecac
5. Activated charcoal

Eunice618 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Calcium EDTA may produce renal damage such as proteinuria and microscopic hematuria. Treatment-induced nephrotoxicity is dose dependent and may be reduced by ensuring adequate diuresis before therapy begins.
Rationale 2: Clients should be monitored for cardiac rhythm irregularities and other electrocardiogram changes during IV therapy.
Rationale 3: This medication can cause hypotension.
Rationale 4: A febrile reaction is an expected adverse effect of this medication; the infusion does not need to be stopped.
Rationale 5: A histamine-like reaction that includes headache and nasal congestion is an expected adverse effect of this medication; the health care provider does not need to be notified.
Global Rationale: Calcium EDTA may produce renal damage such as proteinuria and microscopic hematuria. Treatment-induced nephrotoxicity is dose dependent and may be reduced by ensuring adequate diuresis before therapy begins. Clients should be monitored for cardiac rhythm irregularities and other electrocardiogram changes during IV therapy. This medication can cause hypotension. A febrile reaction is an expected adverse effect of this medication; the infusion does not need to be stopped. A histamine-like reaction that includes headache and nasal congestion is an expected adverse effect of this medication; the health care provider does not need to be notified.

Answer to Question 2

Correct Answer: 1,2
Rationale 1: Naloxone (Narcan) is the antidote for opioid medication overdose.
Rationale 2: Sodium bicarbonate is the antidote for tricyclic antidepressant medication overdose.
Rationale 3: Pyridoxine (vitamin B6) is not the antidote for either opioid or tricyclic antidepressant medication.
Rationale 4: Syrup of ipecac cannot be given to a client who is unconscious.
Rationale 5: Activated charcoal should be administered within 1 hour of oral ingestion of a poison or poisonous substance. Because the client was found unconscious, the amount of time that elapsed between ingestion and discovery cannot be determined. This medication would likely not be effective for the client.
Global Rationale: Naloxone (Narcan) is the antidote for opioid medication overdose. Sodium bicarbonate is the antidote for tricyclic antidepressant medication overdose. Pyridoxine (vitamin B6) is not the antidote for either opioid or tricyclic antidepressant medication. Syrup of ipecac cannot be given to a client who is unconscious. Activated charcoal should be administered within 1 hour of oral ingestion of a poison or poisonous substance. Because the client was found unconscious, the amount of time that elapsed between ingestion and discovery cannot be determined. This medication would likely not be effective for the client.