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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Upset stomach: An upset stomach is not typically associated with anaphylaxis. It could be a symptom of many other less severe conditions.
B. Hallucinations: Hallucinations are not a common symptom of anaphylaxis. They might occur in other medical conditions or as a side effect of certain drugs.
C. Wheezing: Wheezing is a classic sign of anaphylaxis, indicating airway constriction due to a severe allergic reaction.
D. Bleeding gums: Bleeding gums are not a sign of anaphylaxis. They may indicate a different medical issue, such as a blood clotting disorder.
Correct Answer is A
Explanation
A. Standing orders: Standing orders are prewritten orders for specific situations. For a patient post-procedure, standing orders might include pain management protocols that would be activated based on the pain assessment.
B. STAT orders: STAT orders are urgent and are typically used in emergency situations. A pain score of 5/10 does not usually warrant a STAT order.
C. Automatic stop orders: Automatic stop orders are used to discontinue a medication after a certain period or dosage has been reached. They don’t apply directly to managing current pain levels.
D. Verbal orders: Verbal orders are given in person or over the phone when a written order is not possible. These should be minimized to avoid errors and are less likely to be used for routine pain management.
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