RATIONALIZE THIS QUESTION. EXPLAIN WHY THE ANSWER IS CORRECT ANDWHY OTHER OPTIONS ARE INCORRECT. PLEASE LOOK AT THE REFERENCE BELOWFOR SAMPLE. PLEASE DO NOT ANSWER IF YOU CANNOT ANSWER IT CORRECTLY,JUST LEAVE IT HERE IF YOU CAN’T ANSWER IT.
QUESTION:
Nurse Beatrice cared for an elderly client who died few hoursago. Among the given statements, which reflect that the client havepassed away with dignity?
a. “It is indeed difficult to care for a dying patient.”
b. “In order to help the patient, I have administered painmedications as ordered to keep hi sedated”
c. “Thank you, Nurse Beatrice. We know he left peacefully andnot in pain anymore.” (as stated by relatives)
d. “All orders were carried out and the family have no furtherquestions.”
Correct: c. “Thank you, Nurse Beatrice. We know he leftpeacefully and not in pain anymore.” (as stated by relatives)
DIRECTIONS: NOW EXPLAIN WHY LETTER c IS THE CORRECT ANSWER ANDWHY A,B, D ARE INCORRECT. LOOK AT THIS SAMPLE.
Which of the following drugs should Nurse Mary prepare toadminister to a client with a toxic acetaminophen (Tylenol)level?
- A. Deferoxamine mesylate (Desferal)
- B. Succimer (Chemet)
- C. Flumazenil (Romazicon)
- D. Acetylcysteine (Mucomyst)
Correct Answer: D. Acetylcysteine(Mucomyst)
- Option A: Deferoxamine mesylate is theantidote for iron intoxication. Desferal is indicated for thetreatment of acute iron intoxication and chronic iron overload dueto transfusion-dependent anemias. Desferal is an adjunct to, andnot a substitute for, standard measures used in treating acute ironintoxication, which may include the following: induction of emesiswith syrup of ipecac; gastric lavage; suction and maintenance of aclear airway; control of shock with intravenous fluids, blood,oxygen, and vasopressors; and correction of acidosis.
- Option B: Succimer is an antidote for leadpoisoning. Succimer is an oral heavy metal chelating agent used totreat lead and heavy metal poisoning. Succimer has been linked to alow rate of transient serum aminotransferase elevations duringtherapy, but its use has not been linked to cases of clinicallyapparent liver injury with jaundice. Succimer does notsignificantly chelate essential metals such as zinc, copper, oriron, and its specificity, safety and oral availability make itpreferable to other chelating agents for treating lead poisoningsuch as Ca-EDTA which must be given intravenously and dimercaprol(British anti-Lewisite [BAL) which requires intramuscularadministration.
- Option C: Flumazenil reverses the sedativeeffects of benzodiazepines. Flumazenil is a benzodiazepineantagonist. Flumazenil is also indicated for the management andtreatment of benzodiazepine overdose in adults. It is useful inreversing coma due to benzodiazepine overdose. Flumazenil is moreeffective in reversing sedation or coma in patients withbenzodiazepine intoxication rather than in patients with multipledrug overdoses.
