A client is admitted to the Emergency Department after snorting phencyclidine piperidine (PCP). The healthcare provider has determined that the client overdosed on the drug
What actions does the nurse anticipate will be done to care for this client? (Select all that apply.) 1. Induce vomiting
2. Obtain materials to assist with lavage
3. Initiate seizure precautions
4. Initiate an IV
5. Administer Narcan as prescribed
3. Initiate seizure precautions
4. Initiate an IV
Rationale:
The client has taken an overdose of phencyclidine piperidine (PCP), which can produce an adrenaline-like response, or "speed" reaction. PCP overdose is associated with possible hypertensive crisis, respiratory arrest, hyperthermia, and seizures. The client will require an IV line. The client will need to have seizure precautions such as padded side rails initiated. Vomiting is induced for overdoses of alcohol, barbiturates, and benzodiazepines. Lavage would be an inappropriate treatment for inhalation of any substance. Narcan is a narcotic antagonist administered for opiate overdose.
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An elderly female client has been admitted to the hospital with a suspected bowel obstruction. The nurse is reviewing the admitting physician's orders and reads the order "NPO". Based on this order, what action should the nurse take?
A) Apply oxygen by nasal prongs if necessary B) Ensure that the client does not eat or drink anything C) Ensure that the client's record is made available to her insurer D) Insert a nasogastric or oropharyngeal tube if necessary
A nurse believes that patient acuity is a poor measure of patient fragility. Consequently, he and another nurse construct an instrument that measures patient fragility
In what order should the various steps of scale testing, conceptual definition, scale construction, instrument validation, and qualitative exploration occur? a. Scale testing, qualitative exploration, scale construction, conceptual definition, instrument validation b. Conceptual definition, qualitative exploration, scale construction, scale testing, instrument validation c. Scale construction, conceptual definition, instrument validation, scale testing, qualitative exploration d. Instrument validation, qualitative exploration, scale construction, conceptual definition, scale testing e. Qualitative exploration, scale testing, scale construction, conceptual definition, instrument validation f. Conceptual definition, instrument validation, scale construction, scale testing, qualitative exploration
A tingling sensation radiating from the wrist to the hand on striking the median nerve is a positive _____ sign
Fill in the blank(s) with correct word
A pediatric nurse who is employed in a busy ambulatory clinic setting is informed by the nurse manager that average nursing time allocated for each child and family is being reduced to 10 minutes to more efficiently manage the clinic
The nursing activities must include a nursing assessment and discussion on anticipatory guidance. Which of these strategies should the nurse utilize in the plan of care delivery? 1. Attempt to complete the assessmentand education in 10 minutes but extend the time whenever the nurse deems necessary. 2. Plan to do the anticipatory guidancefirst since either the nurse practitioner or the physician can perform the assessment of the child. 3. Ask each parent to complain to thenurse manager that there is not adequate time to talk with the nurse at each visit. 4. Focus anticipatory guidancestrategies on topics that the parent or child have expressed as an area of interest.