A 47-year-old man is suspected of having been exposed to nerve gas. Atropine is given to temporarily block cholinergic activity and to activate acetylcholine sites in the central nervous system
What drug does the nurse give with the atropine to free up the acetylcholinesterase to start breaking down acetylcholine? A) Pyridostigmine
B) Pralidoxime
C) Neostigmine
D) Rivastigmine
B
Feedback:
If nerve gas exposure is expected, patients who may have been exposed are given intramuscular injections of atropine (to temporarily block cholinergic activity and to activate acetylcholine sites in the central nervous system) and pralidoxime (to free up the acetylcholinesterase to start breaking down acetylcholine). An auto-injection is provided to military personnel who may be at risk. The injector is used to give atropine and then pralidoxime. The injections are repeated in 15 minutes. If symptoms of nerve gas exposure exist after an additional 15 minutes, the injections are repeated. If symptoms still persist after a third set of injections, medical help should be sought. Pyridostigmine, neostigmine, and rivastigmine are not used in nerve gas exposure.
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The pediatric nurse, along with the primary caregiver(s), has a special duty to ________ the child and the family
ANS:
An apartment house is on fire, and police and fire responders are unable to save two young children inside. As the fire is being brought under control, a wall suddenly collapses, killing one firefighter and injuring two others
The events unfold in full view of residents, fellow emergency responders, and the general public. You are asked to provide crisis debriefing for those affected. Which actions would be appropriate to take? Select all that apply. a. Arrange for counselors to meet individually with those who wish to seek help. b. Arrange group meetings for responders and witnesses, and encourage participation. c. Describe the purpose and ground rules of the sessions, and answer any questions. d. Encourage discussion of why the crisis occurred to help prevent more such events. e. Ask victims to discuss the worst aspect of the crisis, what they most want to forget. f. Normalize victim responses, and provide guidance regarding possible future responses.
The nurse has implemented interventions aimed at facilitating family coping in the care of a patient with a traumatic brain injury. How can the nurse best facilitate family coping?
A) Help the family understand that the patient could have died. B) Emphasize the importance of accepting the patient's new limitations. C) Have the members of the family plan the patient's inpatient care. D) Assist the family in setting appropriate short-term goals.
Convert 43.6 L to milliliters
A. 436 mL B. 4360 mL C. 0.436 mL D. 43,600 mL