A nurse in the emergency department is caring for a client who has acute toxicity from acetaminophen overdose. The nurse should prepare to administer which of the following medications?

Vitamin K

Flumazenil

Acetylcysteine

Atropine

Answer and Explanation

The Correct Answer is C

A. Vitamin K: Vitamin K is used for anticoagulant reversal, not for acetaminophen toxicity.

B. Flumazenil: Flumazenil is a benzodiazepine antagonist and is not indicated for acetaminophen overdose.

C. Acetylcysteine: Acetylcysteine is the antidote for acetaminophen toxicity, helping to replenish glutathione stores and prevent liver damage.

D. Atropine: Atropine is used for bradycardia or certain poisoning but is not relevant for acetaminophen toxicity.

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Correct Answer is C

Explanation

A. Friction rub: A friction rub is usually associated with pleuritis, not atelectasis. Atelectasis involves the collapse of alveoli and does not produce this sound.

B. Decreasing respiratory rate: Atelectasis generally leads to an increased respiratory rate as the body compensates for decreased oxygenation.

C. Increasing dyspnea: Increasing dyspnea is common in atelectasis as collapsed alveoli reduce oxygen exchange, leading to shortness of breath and increased respiratory effort.

D. Facial flushing: Facial flushing is not typically associated with atelectasis; instead, atelectasis leads to signs of respiratory distress, such as dyspnea and possibly cyanosis.

A. Limit caffeine intake. B. Take the medication with meals. C. Check the pulse after medication administration. D. Rinse the mouth after administration.

Correct Answer is D

Explanation

A. Limit caffeine intake. While caffeine can affect some patients, it is not a specific concern with inhaled corticosteroids like beclomethasone.

B. Take the medication with meals. Inhaled corticosteroids like beclomethasone are typically not taken with meals as they are inhaled, not ingested.

C. Check the pulse after medication administration. Monitoring the pulse is not necessary for beclomethasone unless the client experiences specific symptoms related to tachycardia, which is not common with inhaled corticosteroids.

D. Rinse the mouth after administration. Rinsing the mouth after using inhaled corticosteroids helps prevent oral thrush and other oral side effects associated with the medication.

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A nurse in the emergency department is caring for a client who has acute toxicity from acetaminophen overdose. The nurse should prepare to administer which of the following medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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