« previous next »

Author Question: A patient is brought to the emergency department by his spouse. The patient has a history of bone ... (Read 158 times)

a0266361136

  • Hero Member
  • *****
  • Posts: 538
on: Jul 23, 2018
A patient is brought to the emergency department by his spouse. The patient has a history of bone cancer and has been experiencing severe pain, which has not been relieved by doubling of his dose of opiates.
 
  The wife tells the nurse that her husband became confused and that his eyes looked funny. Upon assessment, the nurse notes miosis and a respiratory rate of 6/minute. The nurse should immediately prepare for administration of which medication?
  a. Naloxone (Narcan)
  b. Flumazenil (Romazicon)
  c. Methamphetamine hydrochloride (Desoxyn)
  d. Acetylcysteine (Mucomyst)

Question 2

A nurse is caring for a patient with cancer, who manages her mild pain with acetaminophen (Tylenol) and nonsteroidal anti-inflammatory drugs.
 
  Her husband asks to speak with the nurse privately and explains that since his wife was diagnosed with cancer 2 years ago, she has been drinking about half a bottle of wine per day, along with a mixed drink before bed. The nurse should obtain from the prescriber an order for which of the following laboratory tests?
  a. Liver function tests
  b. Platelet count
  c. Ammonia level
  d. Hemoglobin and hematocrit level


LegendaryAnswers

  • Sr. Member
  • ****
  • Posts: 341
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
The patient is experiencing respiratory depression and should be given Narcan to reverse the respiratory effects of the opiate overdose.
Flumazenil is not indicated for opiate overdose.
Methamphetamine hydrochloride, a central nervous system stimulant, would not be indicated for this patient initially, although it would stimulate respirations.
Acetylcysteine is the antidote for acetaminophen poisoning, not opiate overdose.

Answer to Question 2

ANS: A
A patient with chronic alcohol abuse and frequent use of acetaminophen should have liver function tests to assess for any damage to the liver.
A platelet count is not indicated in this situation, because the concern is the hepatoxic effects of both acetaminophen and alcohol.
An ammonia level would be indicated for hepatic encephalopathy and is not required in this situation.
Hemoglobin and hematocrit levels are not indicated in this situation.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

The first monoclonal antibodies were made exclusively from mouse cells. Some are now fully human, which means they are likely to be safer and may be more effective than older monoclonal antibodies.

Did you know?

In women, pharmacodynamic differences include increased sensitivity to (and increased effectiveness of) beta-blockers, opioids, selective serotonin reuptake inhibitors, and typical antipsychotics.

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 ...
Did you know?

Drug-induced pharmacodynamic effects manifested in older adults include drug-induced renal toxicity, which can be a major factor when these adults are experiencing other kidney problems.

Did you know?

When taking monoamine oxidase inhibitors, people should avoid a variety of foods, which include alcoholic beverages, bean curd, broad (fava) bean pods, cheese, fish, ginseng, protein extracts, meat, sauerkraut, shrimp paste, soups, and yeast.

The vegetation history of landscapes can be reconstructed using the pollen contained within the sedi The vegetation history of landscapes can be reconstructed using the pollen contained within the sedi
Sharing patient information with colleagues is an important nursing role Sharing patient information with colleagues is an important nursing role
Tattoos and Body Piercings: This patient developed cellulitis from tattoo ink Tattoos and Body Piercings: This patient developed cellulitis from tattoo ink
Patient teaching: health promotion to prevent osteroporosis in women Patient teaching: health promotion to prevent osteroporosis in women
Drugs for Hypertensive Emergency Drugs for Hypertensive Emergency
Video: Monohybrid crosses

For a complete list of videos, visit our video library