A patient is brought to the emergency department for the treatment of an overdose of alprazolam. Which medication should the nurse prepare to administer to this patient?
Protamine sulfate
Acetylcysteine
Naloxone
Flumazenil
The Correct Answer is D
Choice A rationale: Protamine sulfate is used to reverse the anticoagulant effects of heparin, not the effects of alprazolam.
Choice B rationale: Acetylcysteine is the antidote for acetaminophen (paracetamol) overdose and is not effective for alprazolam overdose.
Choice C rationale: Naloxone is an opioid antagonist and is not effective for benzodiazepine overdose.
Choice D rationale: This is correct. Flumazenil is a specific antagonist for benzodiazepines and can be used to reverse the sedative effects of alprazolam in the case of overdose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: While methotrexate can help prevent fatal toxicities associated with rheumatoid arthritis, this is not the primary reason for its use in this context.
Choice B rationale: This is correct. Starting methotrexate early in the course of rheumatoid arthritis can help delay the disease process of joint degeneration and prevent irreversible damage.
Choice C rationale: While controlling symptoms is important for the patient's quality of life, starting methotrexate is more about preventing joint damage and progression of the disease than increasing life expectancy.
Correct Answer is D
Explanation
Choice A rationale: Managing dry-mouth symptoms is not the greatest teaching priority for a patient prescribed varenicline.
Choice B rationale: Increasing fiber in the diet to reduce constipation is not the greatest teaching priority for a patient prescribed varenicline.
Choice C rationale: The greatest teaching priority for a patient prescribed varenicline is to report thoughts of self-harm. Varenicline is a medication used for smoking cessation, and there have been reports of neuropsychiatric symptoms, including suicidal ideation.
Choice D rationale: Teaching about the decreased pleasurable effect of nicotine is important but not the greatest priority compared to ensuring the patient's safety.
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