MED SURG COMPREHENSIVE EXAM 1. A parent whose 12-year-old child has been inhaling paint fumes asks the nurse, "Can he
become addicted to paint fumes?"
... [Show More] What is the best response for the nurse to provide?
A. Only hard drugs like cocaine and heroin can cause problems with addiction.
B. Abuse of any of the inhalants can eventually lead to addiction
C. Any time you use an illegal substance, you are abusing drugs.
D. Tell me what you think may have caused him to start inhaling paint fumes.
(C) Rationale: provides accurate information and answers the parent's question. (A) is a
common misconception. (B) is not usually an effective treatment strategy, and information
should be sought after determining if any other drugs have been taken. (D) does not address the
parent's question.
2. A young adult female is brought to the emergency room by family members who report
that she ingested a large quantity of acetaminophen (Tylenol). The nurse should prepare for
which treatment to be implemented?
A. IV administration of Narcan.
B. Gastric lavage with normal saline.
C. Acetylcysteine (Mucomyst) 140 mg/kg
D. Syrup of ipecac per nasogastric tube.
Mucomyst (C) is the antidote for acute acetaminophen (Tylenol) poisoning and is the treatment
of choice for an overdose. (A) is used for an overdose of narcotics. (B) is used for ingestion of
non-corrosive products such as iron tablets. (D) might also be implemented, depending on the
amount of drugs ingested and the time elapsed since ingestion.
Awarded 1.0 points out of 1.0 possible points.
3. An 8-year-old male client with nephrotic syndrome is in remission following treatment
with prednisone (Deltasone). The nurse should teach the child to check his urine for which
finding?
A. Glucose.
B. White blood cells.
C. Protein
D. Ketones.
Children should be taught to check for protein (albumin) (0) in the urine daily, because a
positive reading for protein in the urine is often the only indicator of a relapse of nephrotic
syndrome. (A) is an indication of infection. (8 and C) should be assessed while the child is
receiving corticosteroid therapy, since corticosteroids increase blood glucose.
Awarded 1.0 points out of 1.0 possible points. [Show Less]