A nurse is assessing a client who is taking aspirin and reports having tinnitus. Which of the following medications should the nurse expect to administer?
Protamine sulfate
Diphenhydramine
Bicarbonate
Naloxone
The Correct Answer is C
A. Protamine sulfate: Protamine sulfate is an antidote for heparin overdose, not for aspirin toxicity. It does not address salicylate-related symptoms such as tinnitus.
B. Diphenhydramine: Diphenhydramine is an antihistamine used for allergic reactions and motion sickness. It does not counteract aspirin toxicity or reduce salicylate levels.
C. Bicarbonate: Sodium bicarbonate is used in cases of aspirin (salicylate) toxicity to alkalinize the urine, which enhances the renal excretion of salicylates. This intervention helps reduce systemic toxicity, including symptoms like tinnitus.
D. Naloxone: Naloxone is an opioid antagonist used for opioid overdose. It has no effect on aspirin toxicity or salicylate-induced symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["60"]
Explanation
Calculation:
- Determine the concentration of the available solution in mg/mL.
Total drug amount: 2g
Total volume: 500mL
- Convert grams (g) to milligrams (mg): 2g × 1000mg/g
= 2000mg
Available concentration (mg/mL) = 2000mg/500mL
= 4mg/mL.
- Calculate the infusion rate in milliliters per minute (mL/min).
Desired rate: 4mg/min
Available concentration: 4mg/mL
Rate (mL/min) = Desired rate (mg/min) / Available concentration (mg/mL)
= 4mg/min/4mg/mL
= 1mL/min.
- Convert the rate from milliliters per minute (mL/min) to milliliters per hour (mL/hr).
Rate (mL/hr) = Rate (mL/min) ×60min/hr
= 1mL/min×60min/hr
= 60mL/hr.
Correct Answer is C
Explanation
A. "I will limit my alcohol intake to two drinks per day.": Alcohol increases the risk of hepatotoxicity when combined with methotrexate. Clients should avoid alcohol completely rather than limiting intake.
B. "I should avoid eating foods that contain vitamin C.": Vitamin C does not worsen stomatitis or interact adversely with methotrexate. There is no need to avoid it in the diet.
C. "I should rinse my mouth with a warm salt solution.": Salt water rinses help soothe oral irritation, reduce bacterial growth, and promote healing of stomatitis, making this the appropriate action.
D. "I will continue to floss my teeth after each meal.": Flossing may irritate the oral mucosa further and worsen stomatitis, so clients should avoid it until the mucosa has healed.
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