A patient in the clinic reports taking a handful of acetaminophen extra-strength tablets about 12 hours prior. The patient has nausea, vomiting, malaise, and drowsiness.
The patient's aspartate aminotransferase and alanine aminotransferase are mildly elevated. The primary care NP should: a. expect the patient to sustain permanent liver damage.
b. reassure the patient that these symptoms are reversible.
c. tell the patient that acetylcysteine cannot be given this late.
d. administer activated charcoal to remove acetaminophen from the body.
Question 2
A patient is brought to the clinic by a spouse because of increased somnolence and disorientation. The spouse tells the primary care NP that the patient has been taking oxycodone for postoperative pain.
The NP notes a respiratory rate of 8 to 10 breaths per minute. The NP should: a. activate the emergency medical service (EMS) and administer oxygen.
b. administer oral methadone (Dolophine).
c. administer intramuscular naltrexone (ReVia).
d. administer sublingual buprenorphine (Subutex).
A Patient Being Prepared for Electroconvulsive Therapy.
Pure Alexia in a Patient with Multiple Sclerosis
Apply direct pressure to the patient’s wound.
An open chamber MRI may be more comfortable for the patient, but images may not be as distinct.
Algorithm for assessing a patient at risk for self-directed violence.
Variations in patient response to drugs