A nurse on a crisis hotline is speaking to a client who says, "I just took an entire bottle of amitriptyline." Which of the following responses should the nurse make?

A: "I'm glad you called, and I want to send an ambulance to help you."

B:"You must have been feeling pretty depressed to do that."

C:"Were you trying to kill yourself by taking an overdose?"

D:"Do you know how many pills were in the bottle?"

Answer and Explanation

The Correct Answer is A

Choice A Reason:
In a situation where a client has ingested a potentially lethal amount of medication, immediate medical intervention is crucial. Amitriptyline is a tricyclic antidepressant, and overdose can lead to life-threatening conditions such as cardiac arrhythmias, severe hypotension, and seizures. The nurse's priority is to ensure the safety of the client by sending an ambulance. This response also acknowledges the client's cry for help and initiates prompt action.

Choice B Reason:
While it's important to recognize the emotional state of the client, this response does not address the immediate medical emergency. The client's safety is the priority, and while their feelings are valid, this choice does not facilitate the urgent care needed.

Choice C Reason:
Asking if the client was trying to commit suicide can come across as judgmental and may close off communication. It's essential to maintain an open line of communication and focus on getting medical help rather than determining intent at this critical moment.

Choice D Reason:
Knowing the quantity of medication ingested can be useful information for medical professionals; however, it is not the most immediate concern in a crisis situation. The first response should be to ensure that medical help is on its way.

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Correct Answer is C

Explanation

Choice A reason: Aspirin is not used to reverse the effects of opioids. It is an anti-inflammatory drug that can reduce pain and fever, but it does not have the capability to counteract opioid effects.

Choice B reason: Acetaminophen, also known as Tylenol, is a pain reliever and a fever reducer. It does not have the properties to reverse opioid overdoses and is not an antidote for opioids.

Choice C reason: Naloxone is the correct medication to reverse the effects of opioids. It is an opioid antagonist that can quickly restore normal breathing in a person if their breathing has slowed or stopped because of an opioid overdose. Naloxone binds to opioid receptors and can reverse and block the effects of other opioids.

Choice D reason: Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to treat pain, fever, and inflammation. Like aspirin and acetaminophen, it does not reverse the effects of an opioid overdose.

In conclusion, naloxone is the medication that is used to reverse the effects of opioids in the case of an overdose. It is a critical drug in emergency situations involving opioids and can save lives by reversing life-threatening respiratory depression caused by opioid overdose. Healthcare providers should be prepared to administer naloxone and provide appropriate follow-up care after its use.

A. Caffeine B. Alcohol C. Inhalants D. Cocaine

Correct Answer is B

Explanation

Choice A reason:
Caffeine is not typically associated with liver cirrhosis. While excessive consumption of caffeine can have various health implications, it is not considered a direct cause of liver cirrhosis. The liver metabolizes caffeine without significant damage or scarring to the liver tissue.

Choice B reason:
Alcohol is the primary cause of liver cirrhosis in many cases. Chronic alcohol abuse leads to liver damage and subsequent scarring, known as cirrhosis. The liver's function is to process and filter toxins, including alcohol. Excessive and prolonged alcohol consumption overwhelms the liver's ability to process it, leading to inflammation, damage, and eventually scarring of the liver tissue.

Choice C reason:
Inhalants are substances that produce chemical vapors that can be inhaled to induce a psychoactive, or mind-altering, effect. While they can cause a range of acute and chronic health issues, including damage to the heart, kidneys, lungs, and brain, they are not commonly associated with liver cirrhosis. Liver cirrhosis is not a typical consequence of inhalant use.

Choice D reason:
Cocaine use can lead to various health problems, including cardiovascular and neurological issues, but it is not commonly identified as a primary cause of liver cirrhosis. Cocaine metabolites can be toxic to the liver; however, the direct causation of cirrhosis from cocaine alone is less established compared to alcohol-related liver disease.

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A nurse on a crisis hotline is speaking to a client who says, "I just took an entire bottle of amitriptyline." Which of the following responses should the nurse make?

Nursing Test Bank

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