Adverse effects of acetaminophen include
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
- Hepatotoxicity: Acetaminophen overdose or chronic high-dose use can lead to liver injury and potentially acute liver failure. Hepatotoxicity is a major concern, particularly in clients with preexisting liver disease or chronic alcohol use.
- Stevens-Johnson syndrome: Although rare, acetaminophen can trigger severe skin reactions such as Stevens-Johnson syndrome or toxic epidermal necrolysis. These life-threatening reactions require immediate discontinuation of the drug and medical intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Administer flumazenil: Flumazenil reverses benzodiazepines, not opioids. Giving it in an opioid overdose would provide no therapeutic benefit and could complicate care by masking overlapping sedative effects from unknown co‑ingested substances.
B. Encourage ambulation: Clients with opioid overdose often have depressed consciousness, poor respiratory effort, and impaired safety awareness. Ambulation increases the risk of falls, injury, and worsened hypoxia, making it unsafe during the acute phase.
C. Assess the airway: Opioids depress the respiratory center, making airway assessment the highest priority. Ensuring patency, evaluating respiratory rate and depth, and preparing for ventilation support align with ABC priorities and help prevent respiratory arrest.
D. Request a sedative: Sedating a client who already has CNS and respiratory depression from opioids can further suppress breathing and worsen hypoventilation. This would significantly increase the risk of respiratory failure.
Correct Answer is A
Explanation
A. "A sign of hypoglycemia is sweating.": Sweating (diaphoresis) is a classic autonomic symptom of hypoglycemia caused by sympathetic nervous system activation. Other early signs include shakiness, palpitations, and anxiety, which alert the client to low blood glucose before neuroglycopenic symptoms develop.
B. "A sign of hypoglycemia is decreased appetite.": While hyperglycemia may affect appetite, decreased appetite is not a reliable indicator of hypoglycemia. Hypoglycemia typically triggers immediate autonomic and neuroglycopenic symptoms rather than a loss of appetite.
C. "A sign of hypoglycemia is insomnia.": Insomnia is not a characteristic symptom of low blood glucose. Sleep disturbances may occur with hyperglycemia or other conditions but do not indicate acute hypoglycemia.
D. "A sign of hypoglycemia is a low heart rate.": Hypoglycemia generally causes tachycardia due to sympathetic activation, not bradycardia. A low heart rate would not serve as a reliable warning sign of hypoglycemia.
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