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. Fentanyl toxicity typically causes a decreased heart rate (bradycardia), not an elevated heart rate.

B. Hypertension is not a typical symptom of fentanyl toxicity; hypotension is more common.

C. Pupillary dilation (mydriasis) is a hallmark sign of opioid toxicity, including fentanyl.

D. Tachypnea is unlikely as fentanyl toxicity usually causes respiratory depression, not increased respiratory rate.

A. "You should follow up with your regular doctor in the next few months so they can manage your new diagnosis." B. "It is recommended that you receive follow-up care from a mental health provider after you are discharged." C. "You have made such great progress here. I can see why you feel so well." D. "Since you have such a good relationship with your family practice provider, you do not need to see a mental health provider."

Correct Answer is B

Explanation

A. Suggesting follow-up with a regular doctor might be helpful, but it does not address the specific needs of a mental health diagnosis.

B. Recommending follow-up care from a mental health provider ensures that the client receives specialized care for managing borderline personality disorder, which often requires therapy and possibly medication.

C. While acknowledging the client's progress is supportive, it does not provide appropriate guidance for ongoing mental health care.

D. This response does not address the importance of specialized mental health care necessary for managing borderline personality disorder effectively.

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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

A nurse is caring for a client who has been brought to the emergency department and is experiencing acute fentanyl toxicity. The nurse should expect to observe which of the following adverse effects in this client?

Correct Answer is C

Explanation

A nurse on a mental health unit is caring for a client who has a new diagnosis of borderline personality disorder. The client states "I will just see my regular doctor at my annual checkup after I am discharged." Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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