A nurse is caring for a client who is experiencing acetaminophen toxicity. The nurse should recognize that which of the following is the antidote used to reverse this toxicity?
Digoxin immune fab
Atropine
Acetylcysteine
Prussian blue
The Correct Answer is C
A. Digoxin immune fab: Digoxin immune fab is used to treat digoxin toxicity by binding to digoxin molecules and neutralizing their effect. It is not effective for acetaminophen toxicity.
B. Atropine: Atropine is used to treat bradycardia or anticholinergic toxicity. It has no role in reversing acetaminophen overdose or its hepatotoxic effects.
C. Acetylcysteine: Acetylcysteine acts as a precursor for glutathione, helping to detoxify the harmful metabolite of acetaminophen. Early administration can prevent or reduce liver damage and is the standard antidote for acetaminophen toxicity.
D. Prussian blue: Prussian blue is used to treat heavy metal poisoning, such as thallium or cesium, by binding the metals in the gastrointestinal tract. It does not reverse acetaminophen toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Morphine 4 mg IV every 4 hr PRN for pain: This prescription is complete, specifying the medication, dose, route, frequency, and indication (pain). No clarification is needed before administration.
B. Acetaminophen 500 mg every 4 hr PRN for fever: This prescription lacks a specified route, such as PO (by mouth) or IV. Without the route, the order is incomplete and could result in administration errors, requiring clarification from the provider.
C. Simvastatin 40 mg PO at bedtime: This prescription is appropriate as simvastatin is typically administered orally at bedtime when cholesterol synthesis peaks. It includes all required components.
D. Levothyroxine 100 mcg PO every morning: This order is correct and includes the appropriate dose, route, and timing. Levothyroxine is routinely administered orally in the morning on an empty stomach.
Correct Answer is D
Explanation
A. Warmth of the face: Facial flushing or warmth can occur as a common side effect of calcitonin, but alternating nares does not prevent or reduce this reaction. It is typically transient and related to the medication’s vasodilatory effect.
B. Esophagitis: Esophagitis is primarily a concern with oral or injectable forms of certain medications, not intranasal calcitonin. Alternating nares has no impact on esophageal irritation.
C. Dyspnea on exertion: Shortness of breath may indicate an underlying cardiopulmonary issue rather than an intranasal medication effect. Alternating nares does not influence respiratory function.
D. Rhinitis: Rhinitis, or nasal irritation, is a common adverse effect of intranasal calcitonin. Alternating nares daily helps reduce localized irritation and promotes better mucosal recovery, improving comfort and adherence to therapy.
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