The nurse works on a medical-surgical unit and admits a new patient from the ED with many orders, including one to administer an IV solution of sodium bicarbonate
The nurse suspects that the patient has ingested toxic amounts of _________ and understands that the sodium bicarbonate will ____________.
a. amphetamines; neutralize the acids to prevent further toxicity
b. acetaminophen (Tylenol); reduce hepatotoxicity
c. aspirin; create an alkaline urine to accelerate excretion
d. opioids; act as an antagonists to receptor sites
ANS: C
Sodium bicarbonate is indicated for a patient who has toxic levels of aspirin. It acts by creating alkaline urine, which reduces passive reabsorption of acids such as aspirin and accelerates its excretion.
Bicarbonate is not indicated for amphetamine overdose.
Acetylcysteine (Mucomyst), not bicarbonate, is indicated for acetaminophen overdose.
Naloxone (Narcan), not bicarbonate, is indicated for opioid overdose.
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The nurse is caring for a mechanically ventilated patient with a pulmonary artery catheter who is receiving continuous enteral tube feedings. When obtaining continuous hemodynamic monitoring measurements, what is the best nursing action?
a. Do not document hemodynamic values until the patient can be placed in the supine position. b. Level and zero reference the air-fluid interface of the transducer with the patient in the supine position and record hemodynamic values. c. Level and zero reference the air-fluid interface of the transducer with the patient's head of bed elevated to 30 degrees and record hemodynamic values. d. Level and zero reference the air-fluid interface of the transducer with the patient supine in the side-lying position and record hemodynamic values.
A client who underwent biopsy anticipating complete removal of a lesion was told by the physician that more extensive surgery would be needed. The nurse anticipates that the client may immediately experience which of the following emotions?
1. anger 2. frustration 3. loss of hope 4. anxiety
Which of the following clients likely faces a risk for the nursing diagnosis of Disturbed Sleep Pattern: Difficulty Remaining Asleep?
A) A client who receives IV antibiotics every three hours B) A client whose opioid analgesics result in central nervous system depression C) A client who is receiving corticosteroids that make her feel restless and agitated D) A client whose physical therapy has been scheduled in the late evening