A nurse is assisting in the care of a client admitted for an acetaminophen overdose. Which of the following prescriptions should the nurse anticipate implementing?
Monitor amylase and lipase.
Give acetylcysteine.
Obtain a chest x-ray.
Administer naloxone
The Correct Answer is B
B. Acetylcysteine, also known as N-acetylcysteine (NAC), is the antidote for acetaminophen overdose. It works by replenishing depleted glutathione stores in the liver and preventing or reversing hepatotoxicity caused by acetaminophen overdose. Acetylcysteine should be administered as soon as possible after an acetaminophen overdose to maximize its effectiveness in preventing liver damage.
A. Monitoring amylase and lipase levels is not directly related to acetaminophen overdose. Amylase and lipase are pancreatic enzymes that are typically monitored to assess pancreatic function and diagnose conditions such as pancreatitis.
C. Obtaining a chest x-ray is not typically indicated for acetaminophen overdose. Acetaminophen overdose primarily affects the liver, and the manifestations are predominantly related to hepatotoxicity.
D. Naloxone is an opioid antagonist used to reverse opioid overdose by blocking opioid receptors. It is not indicated for acetaminophen overdose. Acetaminophen overdose does not involve opioid receptors, and naloxone would not be effective in treating acetaminophen toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Headache is a common side effect of nitroglycerin, and if it becomes severe or persistent, the client should remove the patch and seek medical advice.
B. Nitroglycerin can cause dizziness or lightheadedness, especially when changing positions. If the client experiences dizziness, lying down with feet elevated can help alleviate symptoms and prevent falls.
C. Nitroglycerin patches typically take about 30 to 45 minutes to begin working after application. This information helps the client understand the expected onset of action of the medication.
D. Nitroglycerin patches should be applied to a clean, hairless area of the skin, usually on the chest or upper arm, to ensure optimal absorption of the medication.
E. Nitroglycerin patches are typically worn for 12 to 14 hours at a time and then removed for a nitrate- free period to prevent tolerance. Following this schedule helps maintain the effectiveness of the medication.
F. To prevent skin irritation or tolerance to the medication, it is recommended to rotate the application site of the nitroglycerin patch with each new patch. This helps ensure consistent absorption and effectiveness of the medication.
Correct Answer is A
Explanation
A. Garlic may potentiate the effects of warfarin, an anticoagulant medication. When taken together, garlic can increase the risk of bleeding due to its antiplatelet properties, potentially leading to an increased risk of bruising or bleeding episodes.
B. Hydrochlorothiazide is a diuretic medication used to treat hypertension and edema. There is no known significant interaction between hydrochlorothiazide and garlic.
C. Dicloxacillin is an antibiotic medication from the penicillin class. There is no known significant interaction between dicloxacillin and garlic.
D. Esomeprazole is a proton pump inhibitor (PPI) used to reduce stomach acid production. There is no known significant interaction between esomeprazole and garlic.
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