An adolescent is brought to the emergency department by a parent who reports that the patient took a whole bottle of extended-release acetaminophen tablets somewhere between 8 and 10 hours ago
The nurse will anticipate administering which of the following?
a. Acetylcysteine (Mucomyst)
b. Activated charcoal
c. Hemodialysis
d. Respiratory support
ANS: A
The nurse should anticipate giving acetylcysteine, because it is the specific antidote for acetaminophen overdose. It is 100% effective when given within 8 to 10 hours after ingestion and may still have some benefit after this interval. Activated charcoal is effective only if given before the medication is absorbed, so it must be given much sooner. Hemodialysis is not indicated. Respiratory support is used for ASA overdose.
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During a team meeting, one nurse suggests the safety of the two clients is of paramount importance and that their treatment plans should call for both to be placed in seclusion to keep them from injuring each other. The suggestion is significant because it a. violates the civil rights of the two clients. b. reinforces the autonomy of the two clients. c. reveals that the nurse values the principle of justice. d. represents the intentional tort of battery.
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Which statement by a client who is severely and persistently mentally ill would the nurse assess as providing a priority need for intervention?
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