A patient arrives in the emergency department (ED) several hours after taking "25 to 30" acetaminophen (Tylenol) tablets. Which action will the nurse plan to take?

Start oxygen using a non-rebreather mask,

Have the patient drink large amounts of water.

Give N-acetylcysteine.

Discuss the use of chelation therapy.

Answer and Explanation

The Correct Answer is C

A. Oxygen administration is not indicated for acetaminophen overdose unless respiratory distress is present.
B. Drinking water does not address acetaminophen overdose and its potential liver toxicity.
C. N-acetylcysteine is the antidote for acetaminophen overdose and should be administered to prevent liver damage.
D. Chelation therapy is not used in the treatment of acetaminophen overdose.

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Correct Answer is B

Explanation

A. Placing the client's clothing in a plastic bag may be necessary for preserving evidence but does not address immediate safety concerns.
B. Instructing the client to remove their clothing helps reduce further exposure to the unknown chemical.
C. Maintaining a safe distance from the client is important, but immediate decontamination is a higher priority.
D. Showering and scrubbing the client's skin should be done after removing contaminated clothing to minimize exposure.

A. Apply calamine lotion to itching areas. B. Apply ice packs to both hands. C. Attempt to remove the patient's stings. D. Give diphenhydramine (Benadryl) 50 mg PO.

Correct Answer is D

Explanation

A. Applying calamine lotion can provide relief from itching but does not address potential complications such as swelling or allergic reactions.
B. Applying ice packs can help reduce swelling and pain, but it is not the priority action in this scenario.
C. Attempting to remove the patient's rings is crucial to prevent complications such as restricted blood flow due to swelling, which can be exacerbated by bee stings. However, this should be done after administering diphenhydramine.
D. The nurse should first administer diphenhydramine (Benadryl) 50 mg PO to counteract the effects of the bee venom and reduce the risk of anaphylaxis.

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A patient arrives in the emergency department (ED) several hours after taking "25 to 30" acetaminophen (Tylenol) tablets. Which action will the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been exposed to an unknown chemical. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

The following interventions are part of the emergency department (ED) protocol for a patient who has been admitted with multiple bee stings to the hands. Which action should the nurse take first?

Correct Answer is D

Explanation

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