The nurse is teaching a group of parents about the use of syrup of ipecac.
Which instruction will the nurse provide?
Give ipecac with a glass of milk to increase emetic effect.
Do not administer ipecac without consulting a poison control center.
Use ipecac fluid extract and not ipecac syrup.
Expect the impact of emesis to be immediate.
The Correct Answer is B
Choice A rationale
Giving ipecac with a glass of milk is not recommended. Milk can delay the emetic effect of ipecac and potentially interfere with its ability to induce vomiting. It is essential to follow proper guidelines for ipecac administration to ensure its effectiveness and safety.
Choice B rationale
Consulting a poison control center before administering ipecac is crucial. Poison control experts can provide specific recommendations based on the type and amount of substance ingested. Not all poisoning cases require ipecac, and its inappropriate use can cause more harm than good.
Choice C rationale
Ipecac fluid extract is significantly more potent than ipecac syrup and is not recommended for home use. The syrup form is standardized for safe administration in inducing vomiting, whereas the fluid extract can cause severe toxicity if used incorrectly.
Choice D rationale
The emetic effect of ipecac is not immediate. It typically takes about 20 to 30 minutes for vomiting to occur after administration. Providing patients and caregivers with accurate information about the onset of action is essential to avoid unnecessary anxiety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
True. Xanthine derivatives like theophylline can cause serious adverse effects, including brain damage, when blood levels become too high. It is critical to monitor theophylline levels to prevent toxicity and associated neurological complications.
Choice B rationale
False. If xanthine levels remain within therapeutic ranges, the risk of brain damage is minimized. However, this statement is incorrect as it does not acknowledge the potential severity of the adverse effects linked to elevated theophylline levels.
Correct Answer is C
Explanation
Choice A rationale
The small intestine is where nutrients are absorbed, but it is not where vitamin D is activated. Vitamin D is first converted in the liver and then activated in the kidneys to promote calcium absorption.
Choice B rationale
This is incorrect because vitamin D is activated into a form that promotes calcium absorption. The active form is crucial for maintaining calcium and phosphate levels in the blood.
Choice C rationale
The kidneys play a significant role in converting vitamin D to its active form, calcitriol. This activated form is essential for the absorption of calcium in the intestines.
Choice D rationale
The large intestine is involved in water absorption and waste formation but not in the activation of vitamin D. The activation process primarily occurs in the kidneys and liver. .
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