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. Advising elected officials is important but not the first action in directly addressing client needs.
B. Setting up clinics is valuable but requires significant planning and resources and may not be the immediate first step.
C. Reinforcing teaching about illness prevention and health promotion directly impacts clients' immediate well-being and empowers them with knowledge to improve their health.
D. Supporting laws to protect clients without housing is important but may not be an immediate action that directly benefits the client's current health status.

A. Traumatic brain injury B. HIV infection C. Prion disease D. Lewy body disease

Correct Answer is D

Explanation

A. Dementia due to traumatic brain injury does not typically present with fluctuating cognition and visual hallucinations.

B. HIV infection can cause cognitive impairment, but it is not typically associated with visual hallucinations and fluctuating cognition.

C. Prion diseases (such as Creutzfeldt-Jakob disease) cause rapid cognitive decline but are not specifically associated with visual hallucinations and fluctuating cognition.

D. Lewy body disease is characterized by fluctuating cognition, visual hallucinations, and Parkinsonism, making it the most likely diagnosis for this client.

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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?

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