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

Author Question: A young adult patient comes to the emergency department with severe chest pain and agitation. Which ... (Read 92 times)

FButt

  • Hero Member
  • *****
  • Posts: 519
A young adult patient comes to the emergency department with severe chest pain and agitation. Which action should the nurse take first?
 
  a. Give naloxone (Narcan) IV.
  b. Ask about any use of stimulant drugs.
  c. Assess orientation to person, place, and time.
  d. Check blood pressure, pulse, and respirations.

Question 2

A patient who has inhaled cocaine is admitted to the emergency department with palpitations and shortness of breath. What should the nurse do first?
 
  a. Obtain a 12-lead echocardiogram (ECG).
  b. Start oxygen at 4 L/minute.
  c. Draw blood for drug screening.
  d. Infuse normal saline at 100 mL/hr.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

chem1s3

  • Sr. Member
  • ****
  • Posts: 320
Answer to Question 1

ANS: D
The patient has symptoms consistent with the use of cocaine or amphetamines and is at risk for fatal tachydysrhythmias or complications of hypertension such as stroke or myocardial infarction. The nurse also will ask about drug use and assess orientation, but these are not the priority actions. Naloxone may be given if the patient develops symptoms of central nervous system (CNS) depression, but this patient's current symptoms indicate stimulant use.

Answer to Question 2

ANS: B
The priority here is to ensure that oxygenation is adequate. The other orders also should be accomplished as soon as possible but are not the first priority.




FButt

  • Member
  • Posts: 519
Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it


Liddy

  • Member
  • Posts: 342
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

Excessive alcohol use costs the country approximately $235 billion every year.

Did you know?

About 3% of all pregnant women will give birth to twins, which is an increase in rate of nearly 60% since the early 1980s.

Did you know?

Once thought to have neurofibromatosis, Joseph Merrick (also known as "the elephant man") is now, in retrospect, thought by clinical experts to have had Proteus syndrome. This endocrine disease causes continued and abnormal growth of the bones, muscles, skin, and so on and can become completely debilitating with severe deformities occurring anywhere on the body.

Did you know?

It is widely believed that giving a daily oral dose of aspirin to heart attack patients improves their chances of survival because the aspirin blocks the formation of new blood clots.

Did you know?

Methicillin-resistant Staphylococcus aureus or MRSA was discovered in 1961 in the United Kingdom. It if often referred to as a superbug. MRSA infections cause more deaths in the United States every year than AIDS.

Methicilli ...

For a complete list of videos, visit our video library