Walter, a teenage patient, is admitted to the hospital because of acetaminophen (Tylenol) overdose. Overdoses of acetaminophen can precipitate life-threatening abnormalities in which of the following organs?
Lungs
Liver
Kidney
Adrenal glands
The Correct Answer is B
Choice A reason: Lungs aren’t affected by acetaminophen overdose; liver is the target. This misidentifies, per nursing pharmacology. It’s universally distinct, errors in overdose impact.
Choice B reason: Acetaminophen overdose causes liver failure via toxic NAPQI buildup. This matches, per nursing standards. It’s universally recognized, distinctly critical in toxicology.
Choice C reason: Kidneys excrete drugs; liver metabolizes acetaminophen, taking the hit. This errors, per nursing pharmacology. It’s universally distinct, missing the primary organ.
Choice D reason: Adrenals aren’t involved; liver suffers in acetaminophen overdose. This misaligns, per nursing standards. It’s universally distinct, errors in overdose pathology.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: Enzyme-stable meds suit oral use; nausea doesn’t allow it. This fits nursing pharmacology standards. It’s universally distinct, a viable condition.
Choice B reason: Nausea/vomiting blocks oral meds; other routes are needed. This is the exception per nursing standards. It’s universally distinct, impractical here.
Choice C reason: Cooperative swallowing enables oral administration; nausea hinders it. This aligns with nursing pharmacology. It’s universally distinct, a suitable scenario.
Choice D reason: Infection allows oral if swallowable; nausea prevents it. This fits nursing standards precisely. It’s universally distinct, not the issue.
Correct Answer is D
Explanation
Choice A reason: Sim’s position, lateral, suits rectal meds, not oral intake. Fowler’s upright stance aids swallowing safely. This choice errors as it’s impractical for oral administration. Nursing standards universally recognize this distinction, ensuring patient comfort and reducing aspiration risk distinctly.
Choice B reason: Supine, lying flat, increases aspiration risk for oral meds. Fowler’s position prevents choking effectively. This choice is unsafe per nursing pharmacology standards. It’s universally distinct as a poor option for swallowing, lacking the safety Fowler’s provides.
Choice C reason: Prone, face-down, obstructs oral med swallowing entirely. Fowler’s ensures safe administration comfortably. This choice misaligns with nursing standards for oral intake. It’s universally distinct as ineffective, posing risks to patient safety and medication delivery.
Choice D reason: Fowler’s, semi-upright, supports safe oral med swallowing, minimizing aspiration. It’s the standard per nursing pharmacology guidelines. This position is universally applied, distinctly effective for ensuring medication reaches the stomach without complications.
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