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 C
Explanation
Choice A rationale
Thiazide diuretics can lead to hypokalemia, thus a low potassium diet is not recommended. Instead, patients should consume potassium-rich foods to maintain electrolyte balance.
Choice B rationale
Thiazide diuretics increase urine output, which can lead to dehydration. Encouraging increased fluid intake helps to prevent dehydration and maintain proper fluid balance.
Choice C rationale
Thiazide diuretics can cause dizziness or lightheadedness, increasing the risk of falls, especially in elderly patients. Initiating a fall risk protocol is important to ensure patient safety.
Choice D rationale
While exercise is beneficial, thiazide diuretics can cause weakness and dizziness, making it important to assess the patient’s tolerance and monitor their response to physical activity.
Correct Answer is A
Explanation
Choice A rationale
Treatment of narcotic dependence involves using a narcotics antagonist to block the effects of narcotics. This helps prevent relapse in patients recovering from narcotic addiction by decreasing cravings and withdrawal symptoms.
Choice B rationale
Treatment of alcohol dependence does not typically involve narcotics antagonists. Instead, medications like disulfiram or naltrexone are used to manage alcohol dependence.
Choice C rationale
Reversal of tachycardia is not an indication for a narcotics antagonist. Tachycardia is usually managed with medications like beta-blockers or calcium channel blockers.
Choice D rationale
Reversal of bronchoconstriction is not an indicator for narcotics antagonists. Bronchoconstriction is usually treated with bronchodilators such as albuterol or ipratropium.
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