The client has taken an overdose of hydrocodone and acetaminophen (Vicodin). Which does the nurse include for client monitoring related to the medication? (Select all that apply.)
1. Urine output
2. Fluid balance
3. Respiratory rate
4. Leukocyte count
5. Creatinine kinase
6. Prothrombin time
3, 5, 6
3. Overdosing on hydrocodone is likely to depress respirations, so the nurse closely monitors respiratory rate, characteristics of breathing, breath sounds, and SaO2 to plan nursing care.
5 and 6. The nurse reviews the client's liver function test results, including creatinine kinase and prothrombin time for early detection of liver impairment from an aceta-minophen overdose. Prothrombin is an excellent test for liver function because the liver manufactures plasma proteins including prothrombin.
1 and 2. Urine output and fluid volume status are usually not affected by an opioid or acetaminophen overdose.
4. Leukocytes are generally not affected by an opioid or acetaminophen overdose.
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a. Care plan b. Medical diagnosis c. Nursing assessment d. Nursing diagnosis
What are the primary uses of neuromuscular junction blockers (NMJ) blockers? (Select all that apply.)
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The nurse is caring for a child with myasthenia gravis (MG). What health care prescription should the nurse verify before administering?
a. Ceftizoxime (Cefizox) b. Cefotaxime (Claforan) c. Ceftriaxone (Rocephin) d. Garamycin (gentamicin)