The nurse understands that which of the following clients would be the most likely to misuse the drug ipecac?

a. a nine year-old boy c. an adolescent with bulimia
b. a cognitively impaired adult d. a mischievous two year-old


ANS: C

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A Incorrect: This is not a likely candidate for ipecac misuse.
B Incorrect: This is not a likely candidate for ipecac misuse.
C Correct: Bulimia is the most common cause of ipecac misuse.
D Incorrect: This is not a likely candidate for ipecac misuse.

Nursing

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A nurse working with an infant patient observes that the child, who has a nasogastric tube, is grunting on expiration, wheezing, and "seesaw" breathing. The nurse recognizes that the infant is most likely experiencing which condition?

A) Respiratory distress due to obstructed nasal passages B) Respiratory arrest due to obstruction of the glottis C) Epileptic seizure due to overstimulation D) Shock due to loss of blood

Nursing

The nurse is acting as the triage nurse in the emergency department when a 16-year-old boy is brought in by his friends. The patient is in respiratory distress, he is vomiting, and blood is noted in the vomitus

He is somnolent and his electrocardiogram shows an arrhythmia. The boy's friends tell you he was taking a "bunch of little green pills" he got from the cupboard at his grandparent's house. The nurse suspects what? A) Overdose of sleeping pills B) Poisoning C) Anaphylactic shock D) Allergic reaction to Dyazide

Nursing

When preparing the patient for a brain scan, the nurse should:

a. allow the patient to wear a wig during the scan. b. allow the patient to wear a partial denture plate during the scan. c. inform the patient that a clicking noise will be heard during the scan. d. keep the patient NPO for 12 hours before scan if contrast dye is used.

Nursing

The mother brings her 18-month-old toddler to the pediatrician because the child has a fever and has been tugging on his or her left ear

Examination of the tympanic membrane confirms an ear infection and the toddler also has a cold with nasal congestion, rhinorrhea, and a cough. The provider tells the mother to apply heat and gives her a prescription for an otic anesthetic to make the ear more comfortable until the infection resolves. The mother is not happy and says she wants a prescription for an antibiotic. What important teaching points will the nurse include in the teaching plan? (Select all that apply.) A) Ear infections that accompany viral respiratory infections do not respond to antibiotics. B) Habitual use of antibiotics for viral infections contribute to development of resistant strains. C) Adverse effects from antibiotics in children can cause diarrhea and dehydration. D) Antibiotics will only be prescribed if a culture indicates the presence of bacteria in the ear. E) The pediatrician knows more than the mother and she should trust what she is being told.

Nursing