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Author Question: The nurse is acting as the triage nurse in the emergency department when a 16-year-old boy is ... (Read 238 times)

cmoore54

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on: Jul 23, 2018
The nurse is acting as the triage nurse in the emergency department when a 16-year-old boy is brought in by his friends. The patient is in respiratory distress, he is vomiting, and blood is noted in the vomitus.
 
  He is somnolent and his electrocardiogram shows an arrhythmia. The boy's friends tell you he was taking a bunch of little green pills he got from the cupboard at his grandparent's house. The nurse suspects what? A) Overdose of sleeping pills
  B) Poisoning
  C) Anaphylactic shock
  D) Allergic reaction to Dyazide

Question 2

The nurse is caring for a patient taking albendazole. When reviewing the patient's medication history what drug would cause the nurse to question administering albendazole?
 
  A) Propranolol
  B) Fexofenadine
  C) Furosemide
  D) Dexamethasone


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abctaiwan

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

B
Feedback:
Poisoning occurs when an overdose of a drug damages multiple body systems, leading to the potential for fatal reactions. The situation described does not indicate what was contained in the little green pills so it is not possible to say whether the drugs were sedatives or triamterene and hydrochlorothiazide (Dyazide). The symptoms do not indicate an anaphylactic reaction, which would not normally include bloody vomitus.

Answer to Question 2

D
Feedback:
The effects of albendazole, which are already severe, may increase if the drug is combined with dexamethasone, praziquantel, or cimetidine. These combinations should be avoided if at all possible; if they are necessary, patients should be monitored closely for occurrence of adverse effects. No contraindications are noted for propranolol, fexofenadine, or furosemide.


cmoore54

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Reply #2 on: Jul 23, 2018
Thanks


abctaiwan

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Reply #3 on: Jul 23, 2018
Welcome :)


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