Question

questions 34 - 38 are derived from the following scenario: you have responded to the home of a 26 - year - old woman who has reportedly taken a large number of pills in an attempt to commit suicide. as you enter the living room, you see her unresponsive in a chair, with several empty alcohol containers. she is breathing heavily. 34. you are able to arouse her consciousness for a short period of time. which course of action takes priority? a. administer syrup of ipecac. b. cover her with a blanket to maintain body temperature. c. ensure scene safety. d. attempt to administer naloxone. 35. you have decided to give her activated charcoal. how much should you give her? a. half a glass b. 12.5 to 25 g c. 30 to 100 g d. 30 to 100 ml 36. what would be the desired goal of giving her activated charcoal? a. to vomit the drugs and alcohol b. to bind the toxin and prevent absorption c. to teach her a lesson d. to prevent excretion 37. if she does not want to take the activated charcoal, you should: a. restrain her, pinch her nose, and make her drink it b. have her sign a patient refusal form c. attempt to persuade her d. leave the scene 38. side effects of ingesting activated charcoal include all of the following except: a. constipation b. hematemesis c. vomiting d. black stools 39. which of the following is not commonly associated with an overdose from a cardiac medication? a. cardiac arrhythmia b. bleeding c. unconsciousness d. urinary incontinence

Explanation:

1. Scene safety is always the first - priority in any emergency situation.
2. The typical dose of activated charcoal for an adult is 30 - 100 g.
3. Activated charcoal binds to toxins in the gastrointestinal tract to prevent absorption.
4. If a patient refuses treatment, one should attempt to persuade them first.
5. Hematemesis (vomiting blood) is not a common side - effect of activated charcoal ingestion. Constipation, vomiting, and black stools are common side - effects.
6. Bleeding is not commonly associated with a cardiac medication overdose. Cardiac arrhythmia, unconsciousness, and urinary incontinence can be associated.

Answer:

1. C. Ensure scene safety.
2. C. 30 to 100 g
3. B. To bind the toxin and prevent absorption
4. C. attempt to persuade her
5. B. hematemesis
6. B. Bleeding