Author Question: Four patients arrive at the emergency department. All have attempted suicide by overdosing on ... (Read 61 times)

daltonest1984 · **on:** Jul 23, 2018

Four patients arrive at the emergency department. All have attempted suicide by overdosing on medication. Which patient will the nurse plan to transfer to the renal failure unit?

1. The patient who overdosed on lorazepam (Ativan)
2. The patient who overdosed on amitriptyline (Elavil)
3. The patient who overdosed on ibuprofen (Advil)
4. The patient who overdosed on quetiapine (Seroquel)

Question 2

The patient is receiving chlorothiazide (Diuril). What is the best medication education by the nurse?

1. Avoid foods high in potassium, such as bananas.
2. Weigh yourself, and report a gain of more than 2 pounds in 24 hours.
3. Weigh yourself and report a gain of more than 0.5 pounds in 24 hours.
4. Report signs of hypokalemia, such as vomiting and diarrhea.

fromAlphatoOmega22 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale: NSAIDs, such as ibuprofen, are nephrotoxic drugs. Amitriptyline (Elavil) is cardiotoxic, not nephrotoxic. An overdose of lorazepam (Ativan) will result in CNS depression, not nephrotoxicity. An overdose of quetiapine (Seroquel) will result in CNS depression, not nephrotoxicity.

Answer to Question 2

Correct Answer: 2
Rationale: Patients receiving thiazide diuretics should check weight daily and report a weight gain of 2 or more pounds in 24 hours. Patients receiving thiazide diuretics should consume foods high in potassium. Vomiting and diarrhea are not signs of hypokalemia. A weight gain of more than 2, not 0.5, pounds in 24 hours is considered the gold standard for fluid overload.