A nurse is planning care for a client who ingested a large amount of acetylsalicylic acid.
Which of the following actions should the nurse take?
Administer N-acetylcysteine.
Initiate chelation therapy with deferoxamine.
Perform gastric lavage with activated charcoal.
Induce vomiting with syrup of ipecac.
The Correct Answer is C
Activated charcoal should be given as soon as possible to help absorb the acetylsalicylic acid in the gastrointestinal tract.
Choice A is not an answer because N-acetylcysteine is used to treat acetaminophen overdose, not acetylsalicylic acid overdose.
Choice B is not an answer because chelation therapy with deferoxamine is used to treat iron poisoning, not acetylsalicylic acid overdose.
Choice D is not an answer because inducing vomiting with syrup of ipecac is no longer recommended for the treatment of poisoning due to the potential for harm and lack of evidence of benefit.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A.Allowing an infant with a cast for DDH to stand in the crib could place undue stress on the hips and may not be safe, depending on the type of cast and the stability of the condition. Most spica casts will not allow the child to stand, walk or bear any weight.
B.Providing a small electronic toy can help stimulate the infant's sensory and cognitive development. At 10 months old, infants are curious and responsive to interactive toys that can engage their senses and promote fine motor skills and cognitive development.
C.Tie colorful latex balloons to the side of the crib.: While colorful objects can be visually stimulating, latex balloons pose a choking hazard if they burst or are chewed on by the infant. It is safer to use other forms of visual stimulation, such as colorful toys or mobiles.
D.Change the infant's diaper as soon as soiling occurs.: While it is essential to keep the infant clean and dry to prevent skin irritation and infection, this action, although necessary, does not directly promote growth and development. It is a basic care measure rather than a developmental strategy.
Correct Answer is D
Explanation
A. Semi-Fowler's. While this position can help with drainage, it is generally not the first choice immediately after VP shunt surgery.
B. Prone.This position is generally not recommended as it can cause discomfort and increase intracranial pressure.
C. Trendelenburg. This position is contraindicated as it can significantly increase intracranial pressure.
D. on the unoperated side. This position helps prevent pressure on the operative site and facilitates drainage of cerebrospinal fluid. It also reduces the risk of complications associated with increased intracranial pressure.
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