This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient is brought to the emergency department with decreased respirations and somnolence. The ... (Read 18 times)

Alygatorr01285

  • Hero Member
  • *****
  • Posts: 564
on: Jul 23, 2018
A patient is brought to the emergency department with decreased respirations and somnolence. The nurse notes a heart rate of 60 beats per minute and a blood pressure of 80/58 mm Hg.
 
  The patient is known to take alprazolam (Xanax) to treat anxiety. Which medication will the nurse anticipate the provider to order?
  a. Benztropine (Cogentin)
  b. Flumazenil (Romazicon)
  c. Lorazepam (Ativan)
  d. Propranolol (Inderal)

Question 2

A patient who is taking chlorpromazine calls the clinic to report having reddish-brown urine. What action will the nurse take?
 
  a. Notify the provider and request orders for creatinine clearance and BUN levels.
  b. Reassure the patient that this is a harmless side effect of this medication.
  c. Tell the patient to come to the clinic for a urinalysis.
  d. Tell the patient to discard any drug on hand and request a new prescription.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

vboyd24

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

ANS: B
Flumazenil is the recommended benzodiazepine antagonist to treat overdose of benzodiazepines. This patient is unconscious and has bradycardia and hypotension, so the antagonist medication is indicated. Benztropine is an anticholinergic used to treat acute dystonia in patients taking phenothiazines. Lorazepam is a benzodiazepine and would only intensify the symptoms. Propranolol is a beta blocker used to treat akathisia in patients taking phenothiazines.

Answer to Question 2

ANS: B
Aliphatic phenothiazines, such as chlorpromazine, can cause a harmless pink or red-brown urine discoloration. There is no need to evaluate renal function with creatinine clearance, BUN, or urinalysis. The discoloration does not indicate that the medication has expired.


Alygatorr01285

  • Member
  • Posts: 564
Reply 2 on: Jul 23, 2018
Gracias!

epscape

  • Member
  • Posts: 335
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

Most fungi that pathogenically affect humans live in soil. If a person is not healthy, has an open wound, or is immunocompromised, a fungal infection can be very aggressive.

Did you know?

Aspirin is the most widely used drug in the world. It has even been recognized as such by the Guinness Book of World Records.

Did you know?

Drug abusers experience the following scenario: The pleasure given by their drug (or drugs) of choice is so strong that it is difficult to eradicate even after years of staying away from the substances involved. Certain triggers may cause a drug abuser to relapse. Research shows that long-term drug abuse results in significant changes in brain function that persist long after an individual stops using drugs. It is most important to realize that the same is true of not just illegal substances but alcohol and tobacco as well.

Did you know?

More than 50% of American adults have oral herpes, which is commonly known as "cold sores" or "fever blisters." The herpes virus can be active on the skin surface without showing any signs or causing any symptoms.

Did you know?

Increased intake of vitamin D has been shown to reduce fractures up to 25% in older people.

Critical thinking involves analysis in which the nurse examines patient data available from a variet Critical thinking involves analysis in which the nurse examines patient data available from a variet
Appendectomy. The appendix and cecum are brought through the incision to the surface of the abdomen. Appendectomy. The appendix and cecum are brought through the incision to the surface of the abdomen.
Immunization with a vaccine. A healthcare professional is injecting a vaccine into the patient’s arm Immunization with a vaccine. A healthcare professional is injecting a vaccine into the patient’s arm
Sample new patient registration form. Sample new patient registration form.
Drugs for Emergency Contraception and Pharmacologic Abortion Drugs for Emergency Contraception and Pharmacologic Abortion
Examples of endocrine disorders. (B) A patient with a goiter. Examples of endocrine disorders. (B) A patient with a goiter.
Video: Hydrogen bonds vs. Ionic bond

For a complete list of videos, visit our video library