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Author Question: A 27-year-old male patient is brought unresponsive to the emergency department by friends, who say ... (Read 55 times)

azncindy619

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on: Jul 23, 2018
A 27-year-old male patient is brought unresponsive to the emergency department by friends, who say that their friend drank more than half of a large bottle of whiskey 3 hours ago.
 
  Assessment reveals a blood alcohol level of 0.32; V/S are: BP88/32, R6/minute, T96.8 F, P76/minute, weak and thready. The nurse should prepare the patient for which of the following interventions?
  a. IV fluids and stimulants
  b. Charcoal administration
  c. Gastric lavage and dialysis
  d. Naloxone (Narcan) administration

Question 2

A 7-year-old child is brought to the clinic by the parent. The child complains of intense itching, especially at night. If the diagnosis is scabies, the nurse would expect which finding?
 
  a. Small ridges and dotted lines on the head, neck, and buttocks
  b. Ulceration and bleeding in the groin and on plantar surfaces
  c. Facial erythema and mucosal ulceration
  d. White nits along the hair shaft


Mollythedog

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Reply #1 on: Jul 23, 2018
Answer to Question 1

C
The average rate at which a person can metabolize alcohol is about 15 mL (0.5 ounces) per hour. The patient in this scenario has consumed more than half of a large bottle of whiskey within 3 hours. Alcohol can be removed from the body by gastric lavage and dialysis. Gastric lavage washes out most of the alcohol if any is left in the gut, and dialysis is implemented to reduce the chance of renal failure and cardiovascular shock.
Although intravenous fluids may be appropriate, stimulants are contraindicated for this patient.
Charcoal is not indicated in this situation.
Naloxone is indicated in opiate overdoses, not alcohol overdoses.

Answer to Question 2

a


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azncindy619

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Reply #2 on: Jul 23, 2018
TY


Mollythedog

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Reply #3 on: Jul 23, 2018
You're welcome


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