The nurse is preparing to administer protamine sulfate for which of the following medication overdoses?

Hydralazine (Apresoline)

Diphenhydramine (Benadryl)

Coumadin (Warfarin)

Heparin

Answer and Explanation

The Correct Answer is D

A. Hydralazine (Apresoline) is an antihypertensive medication and is not treated with protamine sulfate.
B. Diphenhydramine (Benadryl) is an antihistamine, and protamine sulfate is not used for its overdose.
C. Coumadin (Warfarin) is an anticoagulant, but protamine sulfate specifically reverses heparin, not warfarin.
D. Protamine sulfate is an antidote used to reverse the effects of heparin, a blood thinner.

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Correct Answer is D

Explanation

A. Nitroglycerin should be placed sublingually and not swallowed.
B. This instruction pertains to transdermal nitroglycerin, not sublingual tablets.
C. The recommended use for sublingual nitroglycerin involves one tablet every 5 minutes, up to a total of 3 tablets if pain is not relieved, not placing multiple tablets at once.
D. If chest pain is not relieved by one sublingual nitroglycerin tablet, the patient should take up to a total of 3 tablets at 5-minute intervals and seek emergency help if pain persists.

A. This is a side effect of this drug which will go away after 2 weeks. B. This is a complex sleep behavior with memory loss associated with this drug. C. This is a severe allergic reaction of this drug. D. This means the drug is at toxic levels in your system.

Correct Answer is B

Explanation

A. Zolpidem can cause complex sleep behaviors like sleep-driving, and this side effect does not necessarily resolve after 2 weeks.
B. Zolpidem can lead to complex sleep behaviors, including sleep-driving, with associated memory loss.
C. Severe allergic reactions are not typically associated with memory loss and sleep-driving.
D. Toxic levels would present with more severe symptoms and are less likely to be solely characterized by sleep-driving.

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The nurse is preparing to administer protamine sulfate for which of the following medication overdoses?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client, diagnosed with coronary artery disease and a recent myocardial infarction, is being discharged. The client has a medical prescription for nitroglycerin sublingual as needed. Which nursing instruction is correct?

Correct Answer is D

Explanation

A client has been prescribed zolpidem (Ambien) for insomnia. The client's spouse reports that the patient drives at night but does not remember it in the morning. Which of the following explains this behavior?

Correct Answer is B

Explanation

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