The patient comes to the emergency department following an overdose of aspirin, an acidic drug. What will the best plan of the nurse include?
1. Administration of intravenous fluids to flush the kidneys
2. Administration of ammonium chloride to the patient
3. Administration of sodium bicarbonate to the patient
4. Administration of intravenous proteins to bind the aspirin
Correct Answer: 3
Rationale: Sodium bicarbonate will alkalinize the urine and increase the excretion of aspirin from the body. Administering proteins will not help with the excretion of aspirin from the body. Administering intravenous (IV) fluids will not increase the excretion of aspirin from the body. Ammonium chloride will acidify the urine and cause reabsorption of the aspirin.
You might also like to view...
The patient received a blood transfusion based on test results of critically low hemoglobin. The nurse records vital signs per hospital protocol. One hour after the transfusion was started, the nurse records VS as T 102F, P 110, R 24, BP 136/88
The nurse continues to administer the blood. Based on the above information the nurse could be charged with: a. professional malpractice. c. battery. b. assault. d. libel.
In assessing a patient with AIDS for risk factors, the nurse recognizes the most risky behavior that the patient reported as:
1. oral sex without contact with glans penis. 2. oral sex with condom. 3. use of sex toys. 4. anal sex with condom.
A resident is in bed. How often is the person repositioned?
a. At least every hour b. At least every 2 hours c. At least every 4 hours d. At least every shift
The U.S. Food and Drug Administration (FDA) recommends genetic testing of patients receiving certain medications. Genetic testing helps prescribers:
a. better establish a drug's therapeutic index. b. determine whether a patient is a rapid or slow metabolizer of the drug. c. identify racial characteristics that affect psychosocial variation in drug response. d. produce a drug that is tailored to an individual patient's genetic makeup.