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

Answer and Explanation

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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Correct Answer is ["A","C","E"]

Explanation

A. Assess and document patient's level of pain: Monitoring and documenting pain is essential for effective pain management and patient comfort.

B. Administer contrast material: Administering contrast material is not typically required in the immediate postoperative period unless specifically ordered for diagnostic imaging.

C. Administer intravenous fluids as ordered: IV fluids are often needed postoperatively to maintain hydration and support recovery.

D. Administer antineoplastic agents as ordered: Antineoplastic agents are used for cancer treatment and are not a standard part of postoperative care unless the patient is undergoing concurrent cancer therapy.

E. Administer pain medication as ordered: Administering pain medication as ordered is crucial for managing postoperative pain and promoting recovery.

A. The patient complains of shortness of breath B. The patient reports feeling hot, and her face appears flushed. C. The patient states that she feels nauseated and has a headache. D. The patient complains of continued wakefulness and agitation.

Correct Answer is A

Explanation

A. The patient complains of shortness of breath: Shortness of breath is a hallmark symptom of an anaphylactic reaction. It indicates that the patient may be experiencing airway constriction, which is a medical emergency.

B. The patient reports feeling hot, and her face appears flushed: Flushing and a feeling of warmth can be early signs of an allergic reaction, but they are not specific to anaphylaxis. Other more severe symptoms would need to be present to diagnose anaphylaxis.

C. The patient states that she feels nauseated and has a headache: Nausea and headache are not typically associated with anaphylaxis. They may be side effects of the medication but are not indicative of an allergic reaction severe enough to cause anaphylaxis.

D. The patient complains of continued wakefulness and agitation: Continued wakefulness and agitation could be side effects of the sleeping pill but are not symptoms of an anaphylactic reaction. These symptoms do not require immediate emergency intervention like anaphylaxis would.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is monitoring a patient during the postoperative period following a surgical procedure. Which actions should be included in the plan of care? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

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Correct Answer is A

Explanation

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