The client is brought to the emergency department with a reported overdose of morphine. Which drug does the nurse anticipate will be prescribed?
Butorphanol
Naloxone
Flumazenil
Pentazocine
The Correct Answer is B
A. Butorphanol
Butorphanol is a mixed opioid agonist-antagonist. It has both agonist and antagonist properties at opioid receptors. While it can be used for pain management, it is not commonly used for opioid overdose reversal.
B. Naloxone
Naloxone is an opioid receptor antagonist and is the drug of choice for reversing opioid overdose, including morphine overdose. It works by competitively binding to opioid receptors, blocking the effects of opioids.
C. Flumazenil
Flumazenil is a selective antagonist for benzodiazepines. It is used to reverse the effects of benzodiazepine overdose but does not have an effect on opioid overdose.
D. Pentazocine
Pentazocine is a mixed opioid agonist-antagonist. Like butorphanol, it has both agonist and antagonist properties at opioid receptors. It is used for pain management but is not commonly used for opioid overdose reversal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Give the child fluids and proceed to the emergency department.
While giving the child fluids is generally important, proceeding to the emergency department without consulting poison control may not be the most appropriate initial action. Poison control can provide specific guidance based on the substance ingested.
B. Call the poison control center and follow directions.
The safest advice for a toddler who has ingested a small amount of household cleaning fluid is to call the poison control center and follow their directions. Poison control centers are staffed with professionals who can provide specific guidance based on the type and amount of the ingested substance. They can advise on the appropriate steps to take, such as whether immediate medical attention is needed or if monitoring at home is sufficient.
C. Administer syrup of ipecac and monitor for vomiting.
The use of syrup of ipecac is no longer recommended as a routine measure for ingested substances. It can have adverse effects and may not be effective for all substances. Consulting poison control for guidance is considered a more appropriate approach.
D. Have the toddler eat bread to absorb the substance.
The ingestion of certain substances may not be effectively addressed by having the toddler eat bread. The specific advice for management should come from poison control, which can provide evidence-based guidance.
Correct Answer is ["40"]
Explanation
To calculate the dosage of docusate sodium (Colace) for a 10-year-old child, we need to divide the total amount of medication by the number of doses. The total amount of medication is 120 mg/day, and the number of doses is 3. Therefore, we can use the following formula:
Dosage per dose = Total amount / Number of doses
Dosage per dose = 120 mg / 3
Dosage per dose = 40 mg
The child will receive 40 mg of docusate sodium (Colace) per dose, three times a day.
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