A patient is admitted to the emergency room with an accidental overdose of a substance that is caustic. Which therapeutic option should the nurse question?
Complete blood count (CBC)
Placement on cardiac monitor
Activated charcoal
inducing vomiting
The Correct Answer is D
A. Complete blood count (CBC): A CBC is a standard laboratory test to evaluate overall health and detect a wide range of disorders, including infection or anemia. It is not contraindicated and may be necessary for comprehensive patient care.
B. Placement on a cardiac monitor: Cardiac monitoring is appropriate in cases of overdose as many substances can affect the heart. It helps in early detection of any arrhythmias or other cardiac complications.
C. Activated charcoal: Activated charcoal is typically used to bind substances in the gastrointestinal tract to prevent absorption. However, in the case of a caustic substance, it is generally contraindicated because it does not bind well to such substances and may obscure endoscopic evaluation.
D. Inducing vomiting: Inducing vomiting is contraindicated in cases of caustic substance ingestion because it can cause additional damage to the esophagus and mouth. It is important to avoid this action to prevent further injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Blocking agents: Antagonist medications block the action of other substances, typically by binding to receptors without activating them, thus preventing other substances from binding.
B. Palliative care medications: These medications are used to relieve symptoms in patients with serious illnesses but do not describe how antagonist medications work.
C. Diagnostic medications: These are used in diagnostic tests and procedures but do not describe the action of antagonists.
D. Synergistic medications: Synergistic medications enhance the effects of each other when used together. This is the opposite of what antagonists do, as antagonists typically inhibit effects.
Correct Answer is D
Explanation
A. Prophylactic antibiotics are used to prevent infections and are not a standard part of palliative care unless specifically needed.
B. Curative therapy aims to cure the disease. Hospice care focuses on comfort, not cure, especially in terminal conditions like advanced cancer.
C. Diagnostic medications are used for diagnostic testing and are not typically needed in hospice care.
D. Palliative therapy is the correct approach in hospice care, focusing on relieving symptoms and improving the quality of life for patients with terminal conditions.
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