A nurse is planning care for a client who has a benzodiazepine overdose. Which of the following interventions should the nurse include in the plan?

Administer naloxone (Narcan)

Administer flumazenil (Romazicon)

Administer activated charcoal

Administer acetylcysteine (Mucomyst)

Answer and Explanation

The Correct Answer is B

Correct answer: b) Administer flumazenil (Romazicon)

Rationale: Flumazenil is an antidote for benzodiazepine overdose that works by blocking the benzodiazepine receptors in the brain. It can reverse the effects of benzodiazepines such as sedation, respiratory depression, and coma.

Incorrect choices:

a) Administer naloxone (Narcan): Naloxone is an antidote for opioid overdose that works by displacing opioids from their receptors in the brain. It has no effect on benzodiazepines or their receptors.

c) Administer activated charcoal: Activated charcoal is a substance that binds to drugs or toxins in the gastrointestinal tract and prevents their absorption into the bloodstream. It may be useful for some cases of drug overdose, but it is not effective for benzodiazepines as they are rapidly absorbed and distributed in the body.

d) Administer acetylcysteine (Mucomyst): Acetylcysteine is an antidote for acetaminophen overdose that works by replenishing glutathione, a substance that helps detoxify acetaminophen in the liver. It has no effect on benzodiazepines or their metabolism.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Correct answer: b) "I should avoid using mouthwash that contains alcohol."

Rationale: Disulfiram works by inhibiting the enzyme that metabolizes alcohol, causing a buildup of acetaldehyde in the body. This produces a severe reaction when alcohol is consumed, which includes flushing, headache, nausea, vomiting, chest pain, and hypotension. The reaction can occur even with small amounts of alcohol found in mouthwash, cough syrup, perfume, or food.

Incorrect choices:

a) "I can drink alcohol as long as I skip the dose of disulfiram.": This is incorrect as the effects of disulfiram can last for up to two weeks after the last dose. The client should abstain from alcohol completely while taking disulfiram and for at least 14 days after stopping the medication.

c) "I will experience euphoria if I drink alcohol while taking disulfiram.": This is incorrect as the reaction caused by disulfiram and alcohol is unpleasant and aversive, not euphoric. The purpose of disulfiram is to deter the client from drinking alcohol by creating a negative association.

d) "I can stop taking disulfiram once I have been sober for a month.": This is incorrect as disulfiram is not a cure for alcohol use disorder, but a tool to help the client maintain sobriety. The client should continue taking disulfiram as prescribed by the provider and participate in other forms of treatment such as counseling, support groups, and relapse prevention.

A. Ibuprofen (Advil) B. Levothyroxine (Synthroid) C. Omeprazole (Prilosec) D. Metformin (Glucophage)

Correct Answer is A

Explanation

Correct answer: a) Ibuprofen (Advil)

Rationale: Ibuprofen and other nonsteroidal anti-inflammatory drugs (NSAIDs) can increase the blood levels of lithium by reducing its renal excretion. This can result in lithium toxicity, which can cause nausea, vomiting, tremors, confusion, and seizures.

Incorrect choices:

b) Levothyroxine (Synthroid): Levothyroxine and other thyroid hormones do not interact with lithium.

c) Omeprazole (Prilosec): Omeprazole and other proton pump inhibitors (PPIs) do not interact with lithium.

d) Metformin (Glucophage): Metformin and other antidiabetic drugs do not interact with lithium.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is planning care for a client who has a benzodiazepine overdose. Which of the following interventions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is prescribed disulfiram (Antabuse) for alcohol use disorder. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is reviewing the medication history of a client who is prescribed lithium carbonate (Lithobid) for bipolar disorder. Which of the following medications should alert the nurse to a potential drug interaction?

Correct Answer is A

Explanation

A nurse is caring for a client who has been prescribed benzodiazepines for anxiety disorder. The client tells the nurse that they have been taking more than the prescribed dose because they feel more anxious lately. Which of the following actions should the nurse take?

A nurse is caring for a client who has been taking amphetamine (Adderall) for attention-deficit/hyperactivity disorder (ADHD). The client reports insomnia, weight loss, and palpitations. Which of the following actions should the nurse take?

A nurse is assessing a client who has been prescribed oxycodone for chronic pain. Which of the following signs and symptoms should alert the nurse to possible prescription drug abuse?

A client is admitted to the emergency department with signs of stimulant intoxication. The client reports taking amphetamines prescribed by a friend for weight loss. Which of the following findings should the nurse expect?

A nurse is planning care for a client who has a benzodiazepine overdose. Which of the following interventions should the nurse include in the plan?

A nurse is assessing a client who has a history of opioid abuse and is experiencing withdrawal symptoms. Which of the following findings should the nurse expect?

A client is prescribed alprazolam (Xanax) for anxiety disorder. The nurse should instruct the client to avoid which of the following substances while taking this medication?