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总之，数字时代的社会变迁对人类的生活和发展产生了
深远的影响。信息技术的发展，极大地促进了社会经济
的发展，推动了社会文化的交流和融合，为社会治理提
供了新的工具和手段。然而，数字时代的发展也带来了
一些新的问题和挑战，需要我们在享受数字化便利的同
时，积极应对信息安全、隐私保护等方面的问题。展望
1. 1. Question 未来，随着信息技术的不断进步，数字时代的社会变迁
1 point(s) 将继续深化，为人类的生活和发展带来更多的机遇和挑
Flumazenil (Romazicon) has been ordered for a male client who has overdosed on oxazepam
战。总之，数字时代的社会变迁对人类的生活和发展产
(Serax). Before administering the medication, nurse Gina should be prepared for which common
adverse effect?生了深远的影响。信息技术的发展，极大地促进了社会
经济的发展，推动了社会文化的交流和融合，为社会治
o A. Seizures
理提供了新的工具和手段。然而，数字时代的发展也带
o 来了一些新的问题和挑战，需要我们在享受数字化便利
B. Shivering
的同时，积极应对信息安全、隐私保护等方面的问题。
o C. Anxiety
展望未来，随着信息技术的不断进步，数字时代的社会
o D. Chest pain
变迁将继续深化，为人类的生活和发展带来更多的机遇
ANSWER
和挑战。总之，数字时代的社会变迁对人类的生活和发
Correct Answer: A. Seizures
Seizures are the展产生了深远的影响。信息技术的发展，极大地促进了
most common serious adverse effect of using flumazenil to reverse
benzodiazepine overdose. The effect is magnified if the client has a combined tricyclic
社会经济的发展，推动了社会文化的交流和融合，为社
antidepressant会治理提供了新的工具和手段。然而，数字时代的发展
and benzodiazepine overdose. Benzodiazepine reversal has correlations with
seizures. Seizures may happen more frequently in patients who have been on benzodiazepines for
也带来了一些新的问题和挑战，需要我们在享受数字化
long-term sedation or in patients who are showing signs of severe tricyclic antidepressant
overdose. The 便利的同时，积极应对信息安全、隐私保护等方面的问
required dosage of Flumazenil should be measured and prepared by the
practitioners to题。展望未来，随着信息技术的不断进步，数字时代的
manage seizures. Flumazenil use requires caution in patients relying on a
benzodiazepine for seizure control.
社会变迁将继续深化，为人类的生活和发展带来更多的
• Option B: Shivering is not an adverse effect of flumazenil. Monitor the patient for
机遇和挑战。总之，数字时代的社会变迁对人类的生活
the possible return of sedation, mostly in those who are tolerant of
benzodiazepines. Patients should have monitoring for respiratory depression,
和发展产生了深远的影响。信息技术的发展，极大地促
benzodiazepine withdrawal, and other residual effects of benzodiazepines for at
进了社会经济的发展，推动了社会文化的交流和融合，
least 2 hours.
为社会治理提供了新的工具和手段。然而，数字时代的
• Option C: Anxiety is a rare adverse effect for people using flumazenil. Flumazenil
发展也带来了一些新的问题和挑战，需要我们在享受数
has some associations with precipitation of seizures in patients with
benzodiazepine dependence with a history of seizures. Flumazenil overdose is
字化便利的同时，积极应对信息安全、隐私保护等方面
extremely rare. There is no precise antidote for flumazenil toxicity. In mild to
的问题。展望未来，随着信息技术的不断进步，数字时
severe toxicity, symptomatic and supportive treatment should be a consideration.
• 代的社会变迁将继续深化，为人类的生活和发展带来更
Option D: An overdose of flumazenil in a patient who is not a chronic
benzodiazepine user would not be expected. Chronic benzodiazepines users may
多的机遇和挑战。总之，数字时代的社会变迁对人类的
experience withdrawal with abrupt discontinuation of the drug. Administration of
生活和发展产生了深远的影响。信息技术的发展，极大
benzodiazepines or barbiturates may be necessary for seizure control.
地促进了社会经济的发展，推动了社会文化的交流和融
2. 2. Question 合，为社会治理提供了新的工具和手段。然而，数字时
1 point(s) 代的发展也带来了一些新的问题和挑战，需要我们在享
受数字化便利的同时，积极应对信息安全、隐私保护等
方面的问题。展望未来，随着信息技术的不断进步，数
1
字时代的社会变迁将继续深化，为人类的生活和发展带
来更多的机遇和挑战。总之，数字时代的社会变迁对人
类的生活和发展产生了深远的影响。信息技术的发展，
极大地促进了社会经济的发展，推动了社会文化的交流

, Nurse Tamara 总之，数字时代的社会变迁对人类的生活和发展产生了
is caring for a client diagnosed with bulimia. The most appropriate initial goal for a
client diagnosed with bulimia is to:
深远的影响。信息技术的发展，极大地促进了社会经济
的发展，推动了社会文化的交流和融合，为社会治理提
o A. Avoid shopping for large amounts of food.
供了新的工具和手段。然而，数字时代的发展也带来了
o B. Control eating impulses.
一些新的问题和挑战，需要我们在享受数字化便利的同
o C. Identify anxiety-causing situations.
时，积极应对信息安全、隐私保护等方面的问题。展望
o D. Eat未来，随着信息技术的不断进步，数字时代的社会变迁
only three meals per day.
ANSWER 将继续深化，为人类的生活和发展带来更多的机遇和挑
Correct Answer: C. Identify anxiety-causing situations
战。总之，数字时代的社会变迁对人类的生活和发展产
Bulimic behavior is generally a maladaptive coping response to stress and underlying issues. The
生了深远的影响。信息技术的发展，极大地促进了社会
client must identify anxiety-causing situations that stimulate the bulimic behavior and then learn
new ways of coping with the anxiety. Bulimia nervosa is a condition that occurs most commonly in
经济的发展，推动了社会文化的交流和融合，为社会治
adolescent females, characterized by indulgence in binge-eating, and inappropriate
理提供了新的工具和手段。然而，数字时代的发展也带
compensatory behaviors to prevent weight gain.
来了一些新的问题和挑战，需要我们在享受数字化便利
• Option A: Controlling shopping for large amounts of food isn’t a goal early in
的同时，积极应对信息安全、隐私保护等方面的问题。
treatment. It is important to educate patients who abuse laxatives that these
medications work in the gastrointestinal tract after the areas where caloric
展望未来，随着信息技术的不断进步，数字时代的社会
absorption has occurred primarily. It is crucial to inform patients that a period of
变迁将继续深化，为人类的生活和发展带来更多的机遇
edema and weight gain may follow up to several weeks after discontinuation of
和挑战。总之，数字时代的社会变迁对人类的生活和发
purging behavior.
Option B: Managing eating impulses and replacing them with adaptive coping
• 展产生了深远的影响。信息技术的发展，极大地促进了
mechanisms can be integrated into the plan of care after initially addressing
社会经济的发展，推动了社会文化的交流和融合，为社
stress and underlying issues. The primary objective of treatment is a cessation of
会治理提供了新的工具和手段。然而，数字时代的发展
the binging and purging behavior. Selective serotonin reuptake inhibitors such as
也带来了一些新的问题和挑战，需要我们在享受数字化
fluoxetine, citalopram, and sertraline have shown to reduce symptoms of bulimia
nervosa. Fluoxetine is the only FDA approved medication for bulimia nervosa. It
便利的同时，积极应对信息安全、隐私保护等方面的问
appears that a higher dose (60 mg) is significantly better than a placebo in
题。展望未来，随着信息技术的不断进步，数字时代的
decreasing the frequency of binge and vomiting episodes.
社会变迁将继续深化，为人类的生活和发展带来更多的
• Option D: Eating three meals per day isn’t a realistic goal early in treatment.
Patients with bulimia nervosa who purge by vomiting often brush their teeth
机遇和挑战。总之，数字时代的社会变迁对人类的生活
immediately after purging, which can accelerate dental erosion. The clinician
和发展产生了深远的影响。信息技术的发展，极大地促
should instruct the patients who persist in vomiting to rinse their mouths with
进了社会经济的发展，推动了社会文化的交流和融合，
water or fluoride rather than brushing their teeth within 30 minutes of each
为社会治理提供了新的工具和手段。然而，数字时代的
episode. Consider consulting a dentist to address dental issues associated with
vomiting.
发展也带来了一些新的问题和挑战，需要我们在享受数
3. 3. Question 字化便利的同时，积极应对信息安全、隐私保护等方面

1 point(s) 的问题。展望未来，随着信息技术的不断进步，数字时
A female client代的社会变迁将继续深化，为人类的生活和发展带来更
who’s at high risk for suicide needs close supervision. To best ensure the client’s
safety, Nurse Mary should:
多的机遇和挑战。总之，数字时代的社会变迁对人类的
生活和发展产生了深远的影响。信息技术的发展，极大
o A. Check the client frequently at irregular intervals throughout the night.
地促进了社会经济的发展，推动了社会文化的交流和融
o B. Assure the client that the nurse will hold in confidence anything the client says.
合，为社会治理提供了新的工具和手段。然而，数字时
o C. Repeatedly discuss previous suicide attempts with the client.
代的发展也带来了一些新的问题和挑战，需要我们在享
受数字化便利的同时，积极应对信息安全、隐私保护等
方面的问题。展望未来，随着信息技术的不断进步，数
2
字时代的社会变迁将继续深化，为人类的生活和发展带
来更多的机遇和挑战。总之，数字时代的社会变迁对人
类的生活和发展产生了深远的影响。信息技术的发展，
极大地促进了社会经济的发展，推动了社会文化的交流

, o D. Disregard decreased communication by the client because this is common with
总之，数字时代的社会变迁对人类的生活和发展产生了
suicidal clients.
深远的影响。信息技术的发展，极大地促进了社会经济
ANSWER
的发展，推动了社会文化的交流和融合，为社会治理提
Correct Answer: A. Check the client frequently at irregular intervals throughout the night
供了新的工具和手段。然而，数字时代的发展也带来了
Checking the client frequently but at irregular intervals prevents the client from predicting when
observation will take place and altering behavior in a misleading way at these times. Once the
一些新的问题和挑战，需要我们在享受数字化便利的同
patient is deemed to be at risk for suicide, then intervention steps must be initiated right away.
时，积极应对信息安全、隐私保护等方面的问题。展望
The individual must not be left alone. Enlist the help of a support person while at home. The
未来，随着信息技术的不断进步，数字时代的社会变迁
suicidal individual must be treated in a safe and secure place. In addition, the place has to be
monitored. 将继续深化，为人类的生活和发展带来更多的机遇和挑
Option B: This may encourage the client to try to manipulate the nurse or seek
• 战。总之，数字时代的社会变迁对人类的生活和发展产
attention for having a secret suicide plan. Assessing the individual’s judgment is
生了深远的影响。信息技术的发展，极大地促进了社会
critical. One should try and determine how the individual can handle stress. Does
经济的发展，推动了社会文化的交流和融合，为社会治
he or she have an impairment in decision making? Does the individual know that
jumping in front of a train is dangerous? Reflect empathy and concern. Offer a
理提供了新的工具和手段。然而，数字时代的发展也带
hand to help. Provide the patient with confidence that he or she can overcome
来了一些新的问题和挑战，需要我们在享受数字化便利
the issues.
的同时，积极应对信息安全、隐私保护等方面的问题。
• Option C: This may reinforce suicidal ideas. Help develop internal coping
展望未来，随着信息技术的不断进步，数字时代的社会
strategies (e.g., exercise, journaling, reading, developing a hobby). Utilize the help
of healthcare professionals to follow up on therapy. Once the individual is safe as
变迁将继续深化，为人类的生活和发展带来更多的机遇
an inpatient or outpatient, a formal treatment plan should be established. The
和挑战。总之，数字时代的社会变迁对人类的生活和发
next step is to refer all patients deemed to be at higher risk for suicide to a
展产生了深远的影响。信息技术的发展，极大地促进了
mental health counselor as soon as possible. Every state has laws and procedures
regarding this process which must be incorporated into the clinical practice when
社会经济的发展，推动了社会文化的交流和融合，为社
addressing individuals at high suicide risk.
会治理提供了新的工具和手段。然而，数字时代的发展
• Option D: Decreased communication is a sign of withdrawal that may indicate the
也带来了一些新的问题和挑战，需要我们在享受数字化
client has decided to commit suicide; the nurse shouldn’t disregard it. In some
便利的同时，积极应对信息安全、隐私保护等方面的问
cases, assessment of the mental status may provide a clue to the individual’s
potential for self-harm. Depressed patients will often tend to appear unclean and
题。展望未来，随着信息技术的不断进步，数字时代的
unkempt. The clothing may not be ironed or dirty. The risk of suicide is often high
社会变迁将继续深化，为人类的生活和发展带来更多的
in people who appear very anxious or depressed. The patient may exhibit a flat
机遇和挑战。总之，数字时代的社会变迁对人类的生活
affect or no emotions at all. Some depressed patients may develop hallucinations
that may be telling him or her to kill themselves. The majority of these
和发展产生了深远的影响。信息技术的发展，极大地促
hallucinations are auditory.
进了社会经济的发展，推动了社会文化的交流和融合，
4. 4. Question 为社会治理提供了新的工具和手段。然而，数字时代的
1 point(s) 发展也带来了一些新的问题和挑战，需要我们在享受数
Which of the following drugs should Nurse Mary prepare to administer to a client with a toxic
字化便利的同时，积极应对信息安全、隐私保护等方面
acetaminophen的问题。展望未来，随着信息技术的不断进步，数字时
(Tylenol) level?

代的社会变迁将继续深化，为人类的生活和发展带来更
o A. Deferoxamine mesylate (Desferal)
多的机遇和挑战。总之，数字时代的社会变迁对人类的
o B. Succimer (Chemet)
生活和发展产生了深远的影响。信息技术的发展，极大
o C. Flumazenil (Romazicon)
地促进了社会经济的发展，推动了社会文化的交流和融
o D. Acetylcysteine (Mucomyst)
合，为社会治理提供了新的工具和手段。然而，数字时
ANSWER 代的发展也带来了一些新的问题和挑战，需要我们在享
Correct Answer: D. Acetylcysteine (Mucomyst)
受数字化便利的同时，积极应对信息安全、隐私保护等
方面的问题。展望未来，随着信息技术的不断进步，数
3
字时代的社会变迁将继续深化，为人类的生活和发展带
来更多的机遇和挑战。总之，数字时代的社会变迁对人
类的生活和发展产生了深远的影响。信息技术的发展，
极大地促进了社会经济的发展，推动了社会文化的交流

, The antidote for acetaminophen toxicity is acetylcysteine. It enhances conversion of toxic
总之，数字时代的社会变迁对人类的生活和发展产生了
metabolites to nontoxic metabolites. Acetaminophen (N-acetyl-para-aminophenol, paracetamol,
APAP) toxicity 深远的影响。信息技术的发展，极大地促进了社会经济
is common primarily because the medication is so readily available, and there is a
perception that的发展，推动了社会文化的交流和融合，为社会治理提
it is very safe. More than 60 million Americans consume acetaminophen on a
weekly basis. All patients with high levels of acetaminophen need admission and treatment with
供了新的工具和手段。然而，数字时代的发展也带来了
N-acetyl-cysteine (NAC). This agent is fully protective against liver toxicity if given within 8 hours
一些新的问题和挑战，需要我们在享受数字化便利的同
after ingestion.
• 时，积极应对信息安全、隐私保护等方面的问题。展望
Option A: Deferoxamine mesylate is the antidote for iron intoxication. Desferal is
indicated for the treatment of acute iron intoxication and chronic iron overload
未来，随着信息技术的不断进步，数字时代的社会变迁
due to transfusion-dependent anemias. Desferal is an adjunct to, and not a
将继续深化，为人类的生活和发展带来更多的机遇和挑
substitute for, standard measures used in treating acute iron intoxication, which
战。总之，数字时代的社会变迁对人类的生活和发展产
may include the following: induction of emesis with syrup of ipecac; gastric
生了深远的影响。信息技术的发展，极大地促进了社会
lavage; suction and maintenance of a clear airway; control of shock with
intravenous fluids, blood, oxygen, and vasopressors; and correction of acidosis.
经济的发展，推动了社会文化的交流和融合，为社会治
• Option B: Succimer is an antidote for lead poisoning. Succimer is an oral heavy
理提供了新的工具和手段。然而，数字时代的发展也带
metal chelating agent used to treat lead and heavy metal poisoning. Succimer
来了一些新的问题和挑战，需要我们在享受数字化便利
has been linked to a low rate of transient serum aminotransferase elevations
during therapy, but its use has not been linked to cases of clinically apparent liver
的同时，积极应对信息安全、隐私保护等方面的问题。
injury with jaundice. Succimer does not significantly chelate essential metals such
展望未来，随着信息技术的不断进步，数字时代的社会
as zinc, copper, or iron, and its specificity, safety and oral availability make it
变迁将继续深化，为人类的生活和发展带来更多的机遇
preferable to other chelating agents for treating lead poisoning such as Ca-EDTA
和挑战。总之，数字时代的社会变迁对人类的生活和发
which must be given intravenously and dimercaprol (British anti-Lewisite [BAL)
which requires intramuscular administration.
展产生了深远的影响。信息技术的发展，极大地促进了
• Option C: Flumazenil reverses the sedative effects of benzodiazepines. Flumazenil
社会经济的发展，推动了社会文化的交流和融合，为社
is a benzodiazepine antagonist. Flumazenil is also indicated for the management
会治理提供了新的工具和手段。然而，数字时代的发展
and treatment of benzodiazepine overdose in adults. It is useful in reversing
coma due to benzodiazepine overdose. Flumazenil is more effective in reversing
也带来了一些新的问题和挑战，需要我们在享受数字化
sedation or coma in patients with benzodiazepine intoxication rather than in
便利的同时，积极应对信息安全、隐私保护等方面的问
patients with multiple drug overdoses.
题。展望未来，随着信息技术的不断进步，数字时代的
5. 5. Question 社会变迁将继续深化，为人类的生活和发展带来更多的
1 point(s) 机遇和挑战。总之，数字时代的社会变迁对人类的生活
A male client is admitted to the substance abuse unit for alcohol detoxification. Which of the
和发展产生了深远的影响。信息技术的发展，极大地促
following medications is Nurse Alice most likely to administer to reduce the symptoms of alcohol
withdrawal? 进了社会经济的发展，推动了社会文化的交流和融合，
为社会治理提供了新的工具和手段。然而，数字时代的
o A. Naloxone (Narcan)
发展也带来了一些新的问题和挑战，需要我们在享受数
o 字化便利的同时，积极应对信息安全、隐私保护等方面
B. Haloperidol (Haldol)
的问题。展望未来，随着信息技术的不断进步，数字时
o C. Magnesium sulfate
代的社会变迁将继续深化，为人类的生活和发展带来更
o D. Chlordiazepoxide (Librium)
多的机遇和挑战。总之，数字时代的社会变迁对人类的
ANSWER
生活和发展产生了深远的影响。信息技术的发展，极大
Correct Answer: D. Chlordiazepoxide (Librium)
地促进了社会经济的发展，推动了社会文化的交流和融
Chlordiazepoxide (Librium) and other tranquilizers help reduce the symptoms of alcohol
withdrawal. Chlordiazepoxide is a long-acting benzodiazepine and is an FDA approved
合，为社会治理提供了新的工具和手段。然而，数字时
medication for代的发展也带来了一些新的问题和挑战，需要我们在享
adults with mild-moderate to severe anxiety disorder, preoperative apprehension
and anxiety, and withdrawal symptoms of acute alcohol use disorder. Chlordiazepoxide has anti-
受数字化便利的同时，积极应对信息安全、隐私保护等
方面的问题。展望未来，随着信息技术的不断进步，数
4
字时代的社会变迁将继续深化，为人类的生活和发展带
来更多的机遇和挑战。总之，数字时代的社会变迁对人
类的生活和发展产生了深远的影响。信息技术的发展，
极大地促进了社会经济的发展，推动了社会文化的交流

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