A patient is admitted to the emergency room with an accidental overdose of a substance that is caustic. Which therapeutic option should the nurse question?
Complete blood count (CBC)
Placement on cardiac monitor
Activated charcoal
inducing vomiting
The Correct Answer is D
A. Complete blood count (CBC): A CBC is a standard laboratory test to evaluate overall health and detect a wide range of disorders, including infection or anemia. It is not contraindicated and may be necessary for comprehensive patient care.
B. Placement on a cardiac monitor: Cardiac monitoring is appropriate in cases of overdose as many substances can affect the heart. It helps in early detection of any arrhythmias or other cardiac complications.
C. Activated charcoal: Activated charcoal is typically used to bind substances in the gastrointestinal tract to prevent absorption. However, in the case of a caustic substance, it is generally contraindicated because it does not bind well to such substances and may obscure endoscopic evaluation.
D. Inducing vomiting: Inducing vomiting is contraindicated in cases of caustic substance ingestion because it can cause additional damage to the esophagus and mouth. It is important to avoid this action to prevent further injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. Ritalin (methylphenidate) is a Schedule II drug, indicating it has a high potential for abuse and dependence, despite its accepted medical use for treating ADHD.
B. Cocaine is classified as a Schedule II drug because it has a high potential for abuse but also has accepted medical uses, such as in certain surgical procedures as a local anesthetic.
C. Ketamine is classified as a Schedule III drug. It has a lower potential for abuse compared to Schedule II substances but is still controlled.
D. Methaqualone is a Schedule I drug, indicating it has no accepted medical use and a high potential for abuse.
E. Hydrocodone, particularly in combination with other substances, is classified as a Schedule II drug due to its high potential for abuse and dependence.
Correct Answer is B
Explanation
A. Checking the label before taking the medication out of the cabinet, pouring the medication, and placing the bottle back in the cabinet. This option does not follow the "three checks" principle effectively. The label should also be checked after pouring and before administering the medication to ensure accuracy.
B. Checking the label while removing the bottle from the cabinet, after pouring the dose of medication, and while replacing the bottle in the cabinet. This option correctly follows the "three checks" principle: when removing the medication from the cabinet, after pouring the dose, and when replacing the bottle. This ensures that the right medication is given in the correct dose.
C. Checking the label after removing the bottle from the cabinet and pouring the dose of medication and before closing the cabinet door. This option misses the second check before administering the medication, which is essential to ensure the correct drug and dosage.
D. Checking the label before leaving the medication room. Checking the label before leaving the medication room does not ensure that the correct medication and dosage are being administered at the bedside.
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