A toddler ingests a small amount of household cleaning fluid. What is the safest advice for the nurse to provide the caregiver?

Give the child fluids and proceed to the emergency department.

Call the poison control center and follow directions.

Administer syrup of ipecac and monitor for vomiting.

Have the toddler eat bread to absorb the substance.

Answer and Explanation

The Correct Answer is B

A. Give the child fluids and proceed to the emergency department.
While giving the child fluids is generally important, proceeding to the emergency department without consulting poison control may not be the most appropriate initial action. Poison control can provide specific guidance based on the substance ingested.

B. Call the poison control center and follow directions.
The safest advice for a toddler who has ingested a small amount of household cleaning fluid is to call the poison control center and follow their directions. Poison control centers are staffed with professionals who can provide specific guidance based on the type and amount of the ingested substance. They can advise on the appropriate steps to take, such as whether immediate medical attention is needed or if monitoring at home is sufficient.

C. Administer syrup of ipecac and monitor for vomiting.
The use of syrup of ipecac is no longer recommended as a routine measure for ingested substances. It can have adverse effects and may not be effective for all substances. Consulting poison control for guidance is considered a more appropriate approach.

D. Have the toddler eat bread to absorb the substance.
The ingestion of certain substances may not be effectively addressed by having the toddler eat bread. The specific advice for management should come from poison control, which can provide evidence-based guidance.

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Correct Answer is ["A","B","E"]

Explanation

A. Avoiding hot, spicy foods

Spicy foods can increase the production of stomach acid and may irritate the esophagus, worsening GERD symptoms. Avoiding hot and spicy foods is a dietary measure to minimize the risk of symptom exacerbation.

B. Avoiding tobacco products

Tobacco use is a known risk factor for GERD. Smoking can relax the lower esophageal sphincter (LES), allowing stomach acid to flow back into the esophagus. Advising the patient to quit or avoid tobacco products can contribute to symptom management.

C. Drinking a glass of red wine with dinner

While red wine may have some potential benefits, alcohol, in general, can relax the LES, leading to increased reflux. Therefore, drinking red wine with dinner may not be recommended for someone experiencing GERD symptoms.

D. Eating a snack before bedtime

Eating close to bedtime can increase the likelihood of GERD symptoms, as lying down may allow stomach acid to flow back into the esophagus. The nurse may advise against eating a snack right before bedtime to minimize nighttime reflux.

E. Using a small pillow for sleeping

Elevating the head and upper body during sleep can help prevent stomach acid from flowing into the esophagus. Using a small pillow for sleeping is a measure to reduce nighttime reflux and alleviate GERD symptoms.

Correct Answer is ["100"]

Explanation

To calculate the infusion rate for gentamicin, the nurse needs to use the following formula:

infusion rate (mL/h) = volume (mL) x 60 / time (min).

Plugging in the given values, we get: infusion rate (mL/h) = 50 x 60 / 30 = 100.

Therefore, the nurse would program the electronic infusion pump at 100 mL/h.

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A toddler ingests a small amount of household cleaning fluid. What is the safest advice for the nurse to provide the caregiver?

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Naxlex Comprehensive Predictor Exams

A patient who recently began having mild symptoms of GERD is reluctant to take medication. What measures will the nurse recommend to minimize this patient's symptoms? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

Prescribed is 80 mg of gentamicin in 50 mL to infuse in 30 minutes. The nurse would program the electronic infusion pump at what rate?

Correct Answer is ["100"]

Explanation

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