Which interventions might the nurse include when planning care to ...

[EAugust]

Which interventions might the nurse include when planning care to enhance the removal of poison from a client who has overdosed on drugs?
 
  Standard Text: Select all that apply.
  1. Administering activated charcoal
  2. Monitoring urine output
  3. Preparing the client for dialysis
  4. Inserting a nasogastric tube
  5. Preparing corticosteroids for administration

Question 2

A client has taken 24 acetaminophen (Tylenol) tablets at once in a suicide attempt. Which medication would most likely be administered to reverse the effects of Tylenol?
 
  1. Acetylcysteine (Mucomyst)
  2. Flumazenil (Romazicon)
  3. Atropine (Protopam)
  4. Naloxone (Narcan)

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Answer to Question 1

Correct Answer: 1,2,3,4
Rationale 1: Charcoal works by binding with the poison agent.
Rationale 2: The client's urine output should be monitored, noting the characteristics of urine for early identification of rhabdomyolysis.
Rationale 3: The client might need dialysis for rapid removal of lethal toxins.
Rationale 4: A nasogastric tube might be needed for lavage of stomach contents.
Rationale 5: Corticosteroids are not used to enhance the removal of poison from the body.
Global Rationale: Charcoal works by binding with the poison agent. The client's urine output should be monitored, noting the characteristics of urine for early identification of rhabdomyolysis. The client might need dialysis for rapid removal of lethal toxins. A nasogastric tube might be needed for lavage of stomach contents. Corticosteroids are not used to enhance the removal of poison from the body.

Answer to Question 2

Correct Answer: 1
Rationale 1: Mucomyst is the antidote for acetaminophen (Tylenol) overdose.
Rationale 2: Flumazenil is not the antidote for acetaminophen overdose.
Rationale 3: Atropine is not the antidote for acetaminophen overdose.
Rationale 4: Narcan is not the antidote for acetaminophen overdose.
Global Rationale: Mucomyst is the antidote for acetaminophen (Tylenol) overdose. The remaining medications do not have this indication.

[EAugust]

TY

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