Chapter 56 Drug Overdose and Poisoning

Chapter 56  Drug Overdose and Poisoning

Complete Chapter Questions And Answers
 

Sample Questions

1.
An elderly patient is being treated after taking too much cardiac medication. The patient states, “I didn’t mean to do it. I can’t see as well as I used to and can’t see the writing on the medication labels.” What intervention by the discharge planning nurse would help prevent this from occurring again?
A)
Transfer the patient to the nursing home where she will have her medications administered to her.
B)
Call the patient’s family and tell them they must administer the medications to the patient when they are scheduled.
C)
Make a home health referral for evaluation of resources and medication dispensing.
D)
Encourage the health care provider to prescribe less toxic medication for this patient.

2.
The nurse is assigned to a patient who has been in the hospital for 24 hours with a diagnosis of acute alcohol intoxication. The patient states, “I am so stressed out in my marriage and with my job. Drinking is the only way that I can relieve that stress.” What priority intervention would be beneficial for this patient?
A)
Commit the patient to a state mental health facility.
B)
Refer the patient to a comprehensive treatment program.
C)
Make an appointment for the patient to see a psychiatrist.
D)
Inform that there are other methods to relieve stress other than drinking alcohol.

3.
An adolescent patient has arrived at the emergency department via ambulance after friends reported that she ingested a large quantity of unknown pills after having an argument with her boyfriend. The patient is combative and refuses to divulge the type of pills that she ingested. What lab studies should be performed at this time? Select all that apply.
A)
Electrolyte studies
B)
T3 and T4
C)
Serum osmolality test
D)
Liver panel
E)
Lipid panel
F)
Acetaminophen level

4.
The nurse administers morphine sulfate IV to a patient for complaints of abdominal pain. The order was for 2 mg and the nurse realized that she gave the patient 10 mg. The patient’s respiratory rate is 10 and she is unresponsive. What is the nurse’s priority intervention at this time?
A)
Call the charge nurse.
B)
Administer a stat dose of 50% dextrose.
C)
Administer naloxone (Narcan).
D)
Fill out a risk management incident report.

5.
A patient is receiving chelation therapy. What would the nurse explain to the patient is the purpose of chelation therapy?
A)
“Chelation therapy will remove carbon monoxide from the blood.”
B)
“Chelation therapy will help to reverse the effects of narcotics.”
C)
“Chelation therapy will help promote bowel movements so that the medication will pass through the large intestine.”
D)
“Chelation therapy will remove toxic levels of metals from the body.”

Answer Key

1.
C
2.
B
3.
A, C, D, F
4.
C
5.
D