A nurse is assisting in the care of a client admitted for an acetaminophen overdose. Which of the following prescriptions should the nurse anticipate implementing?

Monitor amylase and lipase.

Give acetylcysteine.

Obtain a chest x-ray.

Administer naloxone

Answer and Explanation

The Correct Answer is B

B. Acetylcysteine, also known as N-acetylcysteine (NAC), is the antidote for acetaminophen overdose. It works by replenishing depleted glutathione stores in the liver and preventing or reversing hepatotoxicity caused by acetaminophen overdose. Acetylcysteine should be administered as soon as possible after an acetaminophen overdose to maximize its effectiveness in preventing liver damage.
A. Monitoring amylase and lipase levels is not directly related to acetaminophen overdose. Amylase and lipase are pancreatic enzymes that are typically monitored to assess pancreatic function and diagnose conditions such as pancreatitis.
C. Obtaining a chest x-ray is not typically indicated for acetaminophen overdose. Acetaminophen overdose primarily affects the liver, and the manifestations are predominantly related to hepatotoxicity.
D. Naloxone is an opioid antagonist used to reverse opioid overdose by blocking opioid receptors. It is not indicated for acetaminophen overdose. Acetaminophen overdose does not involve opioid receptors, and naloxone would not be effective in treating acetaminophen toxicity.

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Correct Answer is D

Explanation

D. The absence of headache indicates a therapeutic response to sumatriptan. Sumatriptan is specifically indicated for the acute treatment of migraine attacks with or without aura and the acute treatment of cluster headache episodes. The absence of headache indicates that sumatriptan has effectively relieved the headache symptoms.
A. Improved mood is not a direct therapeutic response to sumatriptan. While relieving headache pain may contribute to an improved mood, sumatriptan primarily targets headache symptoms rather than mood regulation.
B. Increased bone mass is not a therapeutic response to sumatriptan. Sumatriptan does not affect bone metabolism or bone mass. Therefore, changes in bone mass would not be related to sumatriptan therapy.
C. Sumatriptan is not used in the management of chest pain.

A. "I will take the medication every 10 minutes until the pain goes away." B. "I understand that the medication can slow my heart rate." C. "I should feel the effects of the medication within 5 minutes." D. "I am going to take the medication with food."

Correct Answer is C

Explanation

C. Sublingual nitroglycerin is rapidly absorbed through the mucous membranes under the tongue, and its effects are usually felt within 1 to 5 minutes. Patients should experience relief from angina symptoms shortly after administration.
A. While sublingual nitroglycerin can be taken every 5 minutes for a maximum of three doses for acute angina attacks, it should not be taken every 10 minutes. Taking it too frequently can lead to excessive vasodilation and potentially harmful side effects.
B. Nitroglycerin primarily dilates blood vessels rather than affecting heart rate. While it may cause a transient decrease in blood pressure, it does not typically slow heart rate.
D. Sublingual nitroglycerin should be taken on an empty stomach for optimal absorption. Food can delay absorption and decrease the effectiveness of the medication.

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A nurse is assisting in the care of a client admitted for an acetaminophen overdose. Which of the following prescriptions should the nurse anticipate implementing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is taking sumatriptan. Which of the following reports indicates a therapeutic response to the medication?

Correct Answer is D

Explanation

A nurse is reinforcing discharge teaching about sublingual nitroglycerin with a client who has angina. Which of the following statements indicates an understanding of the instructions?

Correct Answer is C

Explanation

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