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A nurse is caring for a client who is experiencing acetaminophen toxicity. The nurse should recognize that which of the following is the antidote used to reverse this toxicity?

Prussian blue

Acetylcysteine

Digoxin immune fab

Atropine

Answer and Explanation

The Correct Answer is B

A. Prussian blue is used for radiation exposure and some poisoning cases, not for acetaminophen toxicity.

B. Acetylcysteine is the antidote used to reverse acetaminophen toxicity and prevent liver damage.

C. Digoxin immune fab is used for digoxin toxicity, not acetaminophen toxicity.

D. Atropine is used for bradycardia or organophosphate poisoning, not acetaminophen toxicity.

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Correct Answer is B

Explanation

A. NPH insulin should be drawn up second, after lispro insulin, to prevent contamination of the shorter-acting insulin.

B. Lispro insulin (short-acting) and NPH insulin (intermediate-acting) can be mixed in one syringe, with the lispro insulin drawn first.

C. The client should eat immediately after administering lispro insulin (a rapid-acting insulin), not within 1 hour.

D. Lispro insulin is clear and should not be cloudy.

A. Teach the client about foods low in sodium. B. Encourage the client to dangle the legs while sitting in a chair. C. Determine medication adherence by the client. D. Notify the provider of the client's weight gain.

Correct Answer is D

Explanation

A. Teaching about sodium is important but not an immediate action in response to weight gain.

B. Dangling the legs can help reduce edema but does not address the underlying cause of fluid retention.

C. Determining medication adherence is helpful but is secondary to addressing the acute concern of fluid retention.

D. Notifying the provider is the priority action. A 5 lb weight gain in 2 days may indicate fluid retention and worsening heart failure, requiring immediate intervention from the provider.

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A nurse is caring for a client who is experiencing acetaminophen toxicity. The nurse should recognize that which of the following is the antidote used to reverse this toxicity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has diabetes mellitus and a new prescription for a combination of lispro insulin and NPH insulin. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A home health nurse is visiting a client who has heart failure and a prescription for furosemide. The nurse identifies that the client has gained 2.5 kg (5 lb) since the last visit 2 days ago. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

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