A mother runs into the emergency department with a toddler in her arms and tells the nurse that her child got into some cleaning products. The child smells of chemicals on the hands, face, and on the front of the child's clothes. After ensuring the airway is patent, which action should the nurse implement first?
Determine type of chemical exposure.
Call poison control emergency number.
Assess child for altered sensorium.
Obtain equipment for gastric lavage.
None
None
The Correct Answer is A
A. Determining the type of chemical exposure is critical as it guides subsequent treatment and interventions. Different chemicals require different management strategies, including whether to induce vomiting or administer activated charcoal.
B. Calling poison control is important but should occur after identifying the specific chemical involved, as the poison control guidelines often depend on the substance the child was exposed to.
C. Assessing for altered sensorium is important, but the immediate priority is to identify the type of chemical exposure to implement appropriate interventions.
D. Obtaining equipment for gastric lavage may be necessary in certain cases, but this is based on the type of chemical ingested and the child's condition. Identifying the chemical exposure must occur first to determine if gastric lavage is appropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Timing with meals is inappropriate for IV antibiotics because it does not maintain consistent blood levels.
B. Spacing doses every 6 hours around the clock maintains therapeutic levels and is standard for a 4-times-daily IV antibiotic.
C. This schedule leaves a long gap overnight, risking subtherapeutic levels and decreased effectiveness.
D. Limiting doses to waking hours creates uneven intervals, which may compromise treatment efficacy.
Correct Answer is C
Explanation
A. Instruct the UAP to notify the nurse of any changes in the client's respiratory status. While important, this does not address the immediate issue of appropriate personal protective equipment (PPE).
B. Remind the UAP to apply a fitted respirator mask before entering the client's room. A fitted respirator mask is not necessary for influenza, which typically requires droplet precautions, not airborne precautions.
C. Review the need for the UAP to wear a face mask while in close contact with the client.
Influenza is spread through respiratory droplets, so a face mask is necessary for close contact to prevent transmission.
D. Assign the UAP to provide care for another client and assume full care of the client. This is not necessary if the UAP is appropriately trained and reminded to use the correct PPE.
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