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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale:

Nonprotease inhibitors are not typically a part of HAART (Highly Active Antiretroviral Therapy). Protease inhibitors are used to inhibit HIV replication.

Choice B rationale:

Nonnucleoside reverse transcriptase inhibitors (NNRTIs) are often used in HAART, but they are not the primary agents responsible for inhibiting the integration of the viral genome into the host cell's DNA. NNRTIs target the reverse transcriptase enzyme.

Choice C rationale:

Entry inhibitors are another class of antiretroviral drugs, but they work by blocking the entry of the virus into host cells, not by inhibiting integration. They are used in combination with other drugs in specific cases.

Choice D rationale:

Integrase inhibitors are a class of antiretroviral drugs that specifically target the enzyme integrase, which is responsible for integrating the viral genome into the host cell's DNA. This choice is correct because integrase inhibitors are a crucial component of HAART and help prevent the virus from replicating in the host's cells.

A. Difficulty swallowing. B. Nausea. C. Muscle laxity. D. Shuffling gait.

Correct Answer is A

Explanation

Choice B rationale:

Nausea is a common side effect of metoclopramide, and while it is important to monitor, it is not a symptom that the client should specifically report to the primary healthcare provider unless it becomes severe or persistent.

Choice C rationale:

Muscle laxity and shuffling gait (Choices C and D) are potential side effects of other medications, such as antipsychotic drugs, but they are not typically associated with metoclopramide. Therefore, these are not the symptoms the client should report. Difficulty swallowing (Choice A) is a concerning side effect of metoclopramide and should be reported to the healthcare provider immediately. It can be a sign of a serious condition called tardive dyskinesia, which is a potentially irreversible side effect of the medication. Early recognition and discontinuation of metoclopramide are essential to prevent further complications.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a client receiving highly active antiretroviral therapy (HAART). The nurse would expect the client to receive which of the following antiretroviral agents?

Correct Answer is D

Explanation

A nurse is teaching a client who is prescribed metoclopramide about signs and symptoms to report to the primary health care provider.The nurse determines that the teaching was successful when the client states which of the following?

Correct Answer is A

Explanation

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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?