An adolescent presents to the ED following an intentional overdose of methylphenidate hydrochloride. The nurse will anticipate which of the following findings? SELECT ALL THAT APPLY.
Hallucinations
Paranoia
Drowsiness
Increased Hunger
Tachycardia
Hypertension
Correct Answer : A,B,E,F
A. Hallucinations can occur as a result of methylphenidate overdose.
B. Paranoia is a possible psychological effect of a stimulant overdose.
C. Drowsiness is not typical; stimulant overdose usually causes increased alertness and agitation.
D. Increased hunger is not associated with stimulant overdose; appetite suppression is more common.
E. Tachycardia is a common cardiovascular effect of stimulant overdose.
F. Hypertension can occur due to the increased stimulant effect on the cardiovascular system.
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Related Questions
Correct Answer is D
Explanation
A. Prone and in full Trendelenburg position is not appropriate as it could increase intracranial pressure and compromise breathing.
B. Supine with head slightly elevated is not suitable because it can put pressure on the myelomeningocele sac.
C. Side-lying with head slightly elevated is also not ideal as it can lead to pressure on the sac.
D. Prone with hips flexed and legs abducted is the best position to avoid pressure on the myelomeningocele sac, prevent trauma, and reduce the risk of infection before surgical repair.
Correct Answer is ["0.4"]
Explanation
To calculate the daily maintenance dose of digoxin for the infant, we first convert the ordered amount from micrograms to milligrams: 4 mcg/kg/day is equivalent to 0.004 mg/kg/day. For an infant weighing 5 kg, the daily dose would be 0.004 mg/kg/day * 5 kg = 0.02 mg/day. Now, using the concentration provided on the label, which is 0.25 mg/5 mL, we can find out how many milliliters would equate to the required daily dose. This is done by setting up a proportion: (0.25 mg / 5 mL) = (0.02 mg / X mL). Solving for X gives us X = (0.02 mg * 5 mL) / 0.25 mg, which equals 0.4 mL.
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