In which situation where ingestion has occurred would administration of milk or water be indicated?
a. The child is suspected of ingesting leaded paint chips.
b. The child ingested approximately 15 tablets of baby aspirin.
c. The child ingested an over-the-counter product containing acetaminophen.
d. The child ingested an acid or alkali.
D
Administering water or milk can dilute the toxic effects of acid or alkali ingestion. Ingestion of leaded paint chips would not indicate treatment with administration of water or milk. Ingestion of aspirin is not treated with the administration of water or milk. The treatment may involve gastric lavage with activated charcoal, IV fluids with various additives to decrease absorption and treatment of electrolyte imbalances, and vitamin K for bleeding tendencies. Ingestion of acetaminophen is not treated with the administration of milk or water. Gastric lavage within 1 hour and administration of the antidote N-acetylcysteine (Mucomyst) are indicated.
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A patient has been prescribed fluoxetine (Prozac) to treat depression. What should be included in the nurse's teaching about the drug? (Select all that apply.)
a. "Do not expect immediate results; it usually takes 2 to 4 weeks for therapeutic effects to be felt." b. "You may experience some nausea, vomiting, and anorexia, but these side effects will subside in time." c. "Take the prescribed dose in the early evening." d. "You need to take this drug only once a week." e. "You should not consume red wine, aged cheese, or other tyramine-rich foods." f. "A decreased interest in sexual activity may occur with this medication."
For accurate medication administration to pediatric patients, the nurse must take into account which criteria?
a. Organ maturity b. Renal output c. Body temperature d. Height
A 37-year-old patient is being admitted with a diagnosis of Cushing syndrome. Which findings will the nurse expect during the assessment?
a. Chronically low blood pressure b. Bronzed appearance of the skin c. Purplish streaks on the abdomen d. Decreased axillary and pubic hair
What action should a nurse take in order to provide effective nursing care to poor persons, families, and populations in a variety of settings?
a. Move to the area where people are living to understand their plight. b. Understand the concept of poverty on many levels. c. Take a trip abroad to see how poverty exists in other countries. d. Become fully immersed in the concept of poverty for at least a year.