A client is brought to the emergency department with severe ...

[serike]

A client is brought to the emergency department with severe hypertension, nervousness, tremors, tachycardia, and post-seizure.
 
  According to the paramedics, the client was found lying next to an open bottle of amphetamine and dextroamphetamine (Adderall). The client is not coherent, but admits to taking the Adderall. The nurse should prepare to administer which treatments?
  Standard Text: Select all that apply.
  1. Chlorpromazine IV
  2. Sodium bicarbonate
  3. Flumazenil (Romazicon) IV
  4. Gastric lavage
  5. Phentolamine IV

Question 2

An adult client who is seen by the primary care provider for complaints of inability to focus and concentrate on college studies is prescribed atomozetine (Strattera).
 
  Which client comment indicates that the nurse should provide additional information about the drug?
  1. I'll wait until I've taken the medication a few days before driving.
  2. I'll call the doctor immediately if I become jaundiced.
  3. It would be nice if my appetite were decreased with this medication, as I've been wanting to shed a few pounds.
  4. I'll continue to take melatonin at bedtime, as I have difficulty falling asleep at night.

[TheDev123]

Answer to Question 1

Correct Answer: 1,4,5
Rationale 1: Chlorpromazine IV is administered to counteract the effects of amphetamine.
Rationale 2: Sodium bicarbonate decreases the elimination of Adderall from the body.
Rationale 3: Romazicon IV is administered for overdose of benzodiazepines.
Rationale 4: The treatment of overdose with amphetamine includes gastric lavage.
Rationale 5: Phentolamine IV would be administered if the client developed severe hypertension.
Global Rationale: Chlorpromazine IV is administered to counteract the effects of amphetamine. The treatment of overdose with amphetamine includes gastric lavage. Phentolamine IV would be administered if the client developed severe hypertension. Sodium bicarbonate decreases the elimination of Adderall from the body. Romazicon IV is administered for overdose of benzodiazepines.

Answer to Question 2

Correct Answer: 4
Rationale 1: Clients should not drive until the effects of the medication are known.
Rationale 2: The health care provider should be notified immediately for jaundice, as incidences of liver injury have been noted.
Rationale 3: Atomoxetine might cause weight loss, although it is not as likely as with amphetamines.
Rationale 4: It is recommended that the client not take any herbal products while on atomoxetine.
Global Rationale: It is recommended that the client not take any herbal products while on atomoxetine. Clients should not drive until the effects of the medication are known. The health care provider should be notified immediately for jaundice, as incidences of liver injury have been noted. Atomoxetine might cause weight loss, although it is not as likely as with amphetamines.

[serike]

Excellent

[scottmt]

TYSM