A patient is being treated for an iron overdose after taking a bottle of over-the-counter multiple vitamins with iron. Which information will the nurse provide to the family about treatment of this overdose?

1. "The antidote for iron overdose is a folic acid."
2. "The antidote is given via a retention enema."
3. "We will know that the antidote is working when the patient's urine turns a bluish color."
4. "Success of this medication depends on the patient having good kidney function."
5. "Iron overdose is extremely dangerous."


4,5
Rationale 1: The antidote for iron overdose is deferoxamine (Desferal).
Rationale 2: The antidote is give parenterally.
Rationale 3: If the drug is working, the urine will turn a rusty color.
Rationale 4: The antidote binds to iron, which is then removed by the kidney.
Rationale 5: Iron overdose is very toxic.

Global Rationale: Iron overdose is very toxic. The antidote for iron overdose is deferoxamine (Desferal), which is given parenterally. The antidote binds to iron, which is then removed by the kidney, giving the urine a rusty color.

Nursing

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The nurse manager is making nursing assignments for the day shift. When making patient assignments, which of the following should not be a consideration?

a. Complexity of patient care b. Skill, education, and competency of staff members c. Staff preferences d. Attitude and dependability of staff

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When an infant undergoes surgery, is vomiting, or has to take medications that taste terrible, these experiences will most often make it difficult for the infant to:

a. experience pleasure in sucking, swallowing, digesting, and eliminating b. relate to the nursing staff and the other members of the health care team c. accept cuddling and comforting from the caregivers d. communicate basic human needs

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