A home care nurse is speaking with a parent who saw their child playing with cleaning supplies. The parent is not sure if the child ingested anything. Which of the following actions should the nurse take first?

Call the poison control center regarding possible chemical exposure.

Inform the parent about the risks of exposure to chemical agents.

Evaluate the parent's understanding of the emergency measures to take in the event of accidental chemical exposure.

Instruct the parent to secure the cleaning supplies in an area that is out of reach of the child.

Answer and Explanation

The Correct Answer is A

A. The first action should be to call the poison control center to get immediate, specific guidance on how to manage the possible ingestion of cleaning supplies.

B. Informing the parent about the risks is important but not the immediate priority in an emergency situation.

C. Evaluating the parent's understanding is useful for future prevention but does not address the immediate potential poisoning.

D. Securing the cleaning supplies is important for prevention but does not address the current potential emergency.

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Correct Answer is C

Explanation

A. Preparation indicates the client is ready to take action soon.

B. Contemplation means the client is aware of the need for change but is ambivalent.

C. Precontemplation indicates the client is not considering change and does not recognize a need to change.

D. Action indicates the client is actively making changes.

A. "I feel a sense of power by restricting my food intake." B. "I feel an emotional high during my binge-purge episodes." C. "I have binged and purged for years without my family or friends knowing." D. "I only use the laxatives when I am feeling constipated."

Correct Answer is B

Explanation

A. Feeling a sense of power by restricting food intake is more indicative of anorexia nervosa rather than bulimia nervosa.

B. This statement is indicative of bulimia nervosa because individuals with this eating disorder often experience a cycle of bingeing (eating large amounts of food in a short period) and purging (attempting to rid oneself of the food consumed during the binge). The "emotional high" can be associated with the temporary relief from negative emotions that bingeing provides, followed by purging to mitigate guilt and maintain body weight.

C. While secrecy about bingeing and purging behaviors is common in bulimia nervosa, the statement does not explicitly mention the emotional aspect during these episodes, which is a key feature of the disorder.

D. Using laxatives only when constipated does not necessarily indicate bulimia nervosa. Individuals with bulimia nervosa often use laxatives as part of their purging behavior.

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A home care nurse is speaking with a parent who saw their child playing with cleaning supplies. The parent is not sure if the child ingested anything. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Explanation

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