Gastric lavage and administration of activated charcoal are prescribed for an unconscious patient who has been admitted to the emergency department (ED) after ingesting 30 lorazepam (Ativan) tablets. Which prescribed action should the nurse plan to do first?

Prepare a 60-mL syringe with saline.

Assist with intubation of the patient.

Give first dose of activated charcoal.

Insert a large-bore orogastric tube.

Answer and Explanation

The Correct Answer is B

A. Preparing a 60-mL syringe with saline may be necessary for gastric lavage but is not the first action.
B. For an unconscious patient who has ingested a significant quantity of lorazepam, securing the airway is the most critical first step to prevent aspiration and ensure the patient can breathe. Therefore, the nurse should assist with intubation of the patient.
C. The initial step is to ensure that the client’s airway is secured through intubation before administration of activated charcoal.
D. Inserting a large-bore orogastric tube may be necessary for gastric lavage but typically follows administration of activated charcoal.

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Correct Answer is B

Explanation

A. A patient with anaphylactic reaction may have unpredictable clinical course and require immediate interventions, which could affect the stability of the roommate.
B. A patient with viral pneumonia poses a lower risk of infection transmission to an immunocompromised patient with acute organ rejection compared to other options.
C. Graft-versus-host disease indicates an immunocompromised state and poses infection risks, similar to acute rejection patients.
D. Second degree burns also pose infection risks and would not be suitable for a roommate of a patient with acute organ rejection.

A. Full body alopecia B. Diarrhea and dehydration C. Anorexia and malnutrition D. Bleeding from the gums

Correct Answer is D

Explanation

A. Full body alopecia is a common side effect of chemotherapy but not directly related to myelosuppression.
B. Diarrhea and dehydration can occur with certain chemotherapeutic agents but are not specific to myelosuppression.
C. Anorexia and malnutrition are common during chemotherapy but are not specific to myelosuppression.
D. Myelosuppression can lead to decreased platelets and clotting factors, increasing the risk of bleeding from the gums and other sites.

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Gastric lavage and administration of activated charcoal are prescribed for an unconscious patient who has been admitted to the emergency department (ED) after ingesting 30 lorazepam (Ativan) tablets. Which prescribed action should the nurse plan to do first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The charge nurse is assigning semiprivate rooms for new admissions. Which patient could safely be assigned as a roommate for a patient who has acute rejection of an organ transplant?

Correct Answer is B

Explanation

A nurse is caring for a client who has myelosuppression after receiving chemotherapy. The nurse should monitor the client for which of the following adverse effects?

Correct Answer is D

Explanation

A nurse is caring for a client who is admitted to the emergency department for fatigue. Exhibits Which of the following findings indicate that the client may be experiencing transplant rejection? (Select all that apply).

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