A nurse is caring for a client brought to the health care facility for a drug overdose.
In which of the following cases can the client be administered an emetic?
Client's mental status is intact.
Client has an existing condition of severe hypertension.
Client has a medical history of convulsions.
Client has an existing condition of hemorrhagic diathesis.
The Correct Answer is A
Choice A rationale:
Emetics are medications that induce vomiting and are used in cases of drug overdose, ingestion of toxic substances, or other situations where rapid removal of the ingested substance is necessary. However, it is crucial that the client's mental status is intact and they can cooperate and understand the need to induce vomiting. If a client is unconscious or unable to protect their airway, inducing vomiting can lead to aspiration and further complications.
Choice B rationale:
Clients with existing severe hypertension should not be administered emetics, as the act of inducing vomiting can lead to a sudden increase in blood pressure, potentially causing adverse cardiovascular events.
Choice C rationale:
Clients with a medical history of convulsions (seizures) should not be given emetics. Inducing vomiting may lead to a convulsive episode, which can be harmful and increase the risk of aspiration.
Choice D rationale:
Clients with an existing condition of hemorrhagic diathesis (a tendency to bleed excessively) should not be administered emetics. Inducing vomiting can cause mucosal damage and bleeding in the gastrointestinal tract, further exacerbating the client's condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Administering a combination of drugs in TB treatment is not primarily aimed at preventing the incidence of liver dysfunction. The combination therapy's main objective is to address the complex nature of Mycobacterium tuberculosis infections and the potential development of antibiotic resistance.
Choice B rationale:
The nurse should explain that the primary reason for administering a combination of drugs is to slow down bacterial resistance. When TB is treated with a single drug, the bacteria can quickly develop resistance to that drug. Using a combination of drugs with different mechanisms of action makes it more difficult for the bacteria to develop resistance. This is a fundamental principle in the treatment of TB.
Choice C rationale:
Slowing the body's resistance to medication is not a goal in TB treatment. The focus is on preventing the development of resistance in the bacteria, not the body's response to the medication.
Choice D rationale:
While TB treatment aims to prevent the further spread of the disease, the primary reason for using a combination of drugs is to address bacterial resistance. Preventing the spread of TB is an important secondary benefit of effective treatment.
Correct Answer is B
Explanation
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