A toddler is being admitted to the hospital after an Acetaminophen overdose. Which of the following medications should the nurse anticipate administering to this patient?

Correct Answer: A

Rationale: In the case of a toddler admitted to the hospital after an Acetaminophen overdose, the nurse should anticipate administering Acetylcysteine. Acetylcysteine is the antidote for Acetaminophen overdose as it helps to replenish glutathione, a key antioxidant in the liver that gets depleted during Acetaminophen metabolism, thus preventing liver damage. Option B, Pegfilgrastim, is a medication used to stimulate the production of white blood cells in patients undergoing chemotherapy to prevent infections. This medication is not indicated for Acetaminophen overdose. Option C, Misoprostol, is a medication used to prevent stomach ulcers in patients taking nonsteroidal anti-inflammatory drugs (NSAIDs). It is not the appropriate treatment for Acetaminophen overdose. Option D, Naltrexone, is a medication used to treat opioid and alcohol dependence by blocking the effects of opioids or alcohol in the brain. It is not indicated for Acetaminophen overdose. In an educational context, it is crucial for nurses and healthcare providers to be familiar with antidotes and appropriate treatments for medication overdoses to ensure prompt and effective patient care. Understanding the mechanisms of action and indications of medications is essential in providing safe and competent nursing care.

Correct Answer: B

Rationale: In the context of administering Pamidronate for bone pain related to cancer, the correct precaution the nurse should take is option B) Assess the IV site for Thrombophlebitis frequently during administration. Pamidronate is a bisphosphonate medication that can cause irritation to the veins and increase the risk of thrombophlebitis when administered intravenously. Option A) is incorrect because Pamidronate is not typically associated with skin redness or irritation at the injection site. Option C) is incorrect as Pamidronate is usually given intravenously, not orally, so the instruction to lie down after oral administration is not relevant. Option D) is incorrect as anaphylaxis is not a common concern with Pamidronate administration. Educationally, understanding the specific side effects and precautions associated with medications like Pamidronate is crucial for nurses to ensure safe and effective administration to their patients. By knowing the potential complications and appropriate monitoring techniques, nurses can provide high-quality care and prevent adverse events during medication administration.

Correct Answer: C

Rationale: Regular insulin typically exhibits a peak effect approximately 1 to 5 hours after administration. It is important for clients to be aware of this timing to ensure optimal management of their blood glucose levels. Insulin glargine, NPH insulin, and Insulin lispro have different onset and peak times compared to Regular insulin, making them less likely to match the desired peak effect within the specified time frame.

Correct Answer: C

Rationale: Rationale: The correct answer is C) Propranolol will decrease my tremors and fast heartbeat. Propranolol is a non-selective beta-blocker that works by blocking the effects of adrenaline on beta receptors, thus reducing the symptoms of hyperthyroidism like tremors and tachycardia associated with Graves' disease. Option A is incorrect as Propranolol does not increase blood flow to the thyroid gland. Option B is incorrect as Propranolol does not affect glucose levels directly. Option D is incorrect because Propranolol does not directly decrease thyroid hormone levels but rather helps in managing the symptoms associated with excess thyroid hormone production. In an educational context, understanding the mechanism of action of medications is crucial for nurses to educate patients effectively about their prescribed treatments. By knowing how Propranolol works in Graves' disease, nurses can empower patients to adhere to their medication regimen and manage their condition effectively.

Correct Answer: B

Rationale: In this scenario, the correct answer is option B, the 17-year-old with a hypersensitivity to Penicillin. This client is a candidate to receive the influenza vaccine via nasal spray rather than an injection due to their hypersensitivity to Penicillin, which could potentially complicate the injection site reaction. Option A, the 1-year-old with no health problems, is not a candidate for the nasal spray influenza vaccine as it is not recommended for children under 2 years of age. Option C, the 25-year-old who is pregnant, should not receive the nasal spray vaccine as it contains a live attenuated virus, which is contraindicated during pregnancy. Option D, the 52-year-old who takes a multivitamin supplement, does not have a specific condition that would make them a candidate for the nasal spray vaccine. Educationally, this question highlights the importance of considering individual patient factors and contraindications when determining the appropriate route of administration for vaccines. It also underscores the significance of understanding vaccine components and their implications for different patient populations.