« previous next »

Author Question: A 27-year-old male patient is brought unresponsive to the emergency department by friends, who say ... (Read 109 times)

azncindy619

  • Hero Member
  • *****
  • Posts: 562
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

  • Sr. Member
  • ****
  • Posts: 340
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


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

azncindy619

  • Hero Member
  • *****
  • Posts: 562
Reply #2 on: Jul 23, 2018
TY


Mollythedog

  • Sr. Member
  • ****
  • Posts: 340
Reply #3 on: Jul 23, 2018
You're welcome


« previous next »
 

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

Human kidneys will clean about 1 million gallons of blood in an average lifetime.

Did you know?

The lipid bilayer is made of phospholipids. They are arranged in a double layer because one of their ends is attracted to water while the other is repelled by water.

Did you know?

Autoimmune diseases occur when the immune system destroys its own healthy tissues. When this occurs, white blood cells cannot distinguish between pathogens and normal cells.

Did you know?

Complications of influenza include: bacterial pneumonia, ear and sinus infections, dehydration, and worsening of chronic conditions such as asthma, congestive heart failure, or diabetes.

Teaching patient discharge instructions Teaching patient discharge instructions
Medical assistants can quickly pull up a patient record when a phone call is received. Medical assistants can quickly pull up a patient record when a phone call is received.
The physician will begin visual inspection of the patient immediately upon entering the examination ... The physician will begin visual inspection of the patient immediately upon entering the examination ...
A medical assistant helps a patient walk with a gait belt. A medical assistant helps a patient walk with a gait belt.
The relationship of substrate con- version (as measured by optical density) to the amount of patient ... The relationship of substrate con- version (as measured by optical density) to the amount of patient ...
Muscle weakness caused by myasthenia gravis is evident in the eyes of this patient. Muscle weakness caused by myasthenia gravis is evident in the eyes of this patient.
Video: Osmosis - Isotonic, Hypotonic, and Hypertonic​ Solutions

For a complete list of videos, visit our video library