Poisoning

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49. The parents bring their toddler to the ED in a panic. The parents state the child had been playing in the kitchen and got into some cleaning agents and swallowed an unknown quantity of the agents. Which health-care agency should the nurse contact at this time? 1. Child Protective Services (CPS). 2. The local police department. 3. The Department of Health. 4. The Poison Control Center.

1

50. Which is the primary goal of the ED nurse in caring for a client who has ingested poison? 1. Remove or inactivate the poison before it is absorbed. 2. Provide long-term supportive care to prevent organ damage. 3. Administer an antidote to increase the effects of the poison. 4. Implement treatment prolonging the elimination of the poison.

1,3,4,5

53. A gastric lavage has been ordered for a client who is comatose and who ingested a full bottle of acetaminophen, a nonnarcotic analgesic. Which intervention should be included in the procedure? Select all that apply. 1. Place the client on the left side with the head 15 degrees lower than the body. 2. Insert a small-bore feeding tube into the naris. 3. Have standby suction available. 4. Withdraw stomach contents and then instill an irrigating solution. 5. Send samples of the stomach contents to the lab for analysis.

2

55. The client presents to the ED with acute vomiting after eating at a fast-food restaurant. There has not been any diarrhea. The nurse suspects botulism poisoning. Which nursing problem is the highest priority for this client? 1. Fluid volume loss. 2. Risk for respiratory paralysis. 3. Abdominal pain. 4. Anxiety.

123,000 mg

56. The client has ingested the remaining amount of a bottle of analgesic medication. The medication comes 500 mg per capsule. Two (2) doses of two (2) capsules each have been used by another member of the family. The bottle originally had 250 capsules. How many mg of medication did the client take? _______

4

57. The nurse is providing first aid to a victim of a poisonous snake bite. Which intervention should be the nurse's first action? 1. Apply a tourniquet to the affected limb. 2. Cut an "X" across the bite and suck out the venom. 3. Administer a corticosteroid medication. 4. Have the client lie still and remove constrictive items.

2

58. The nurse is discharging a client diagnosed with accidental carbon monoxide poisoning. Which statement made by the client indicates the need for further teaching? 1. "I should install carbon monoxide detectors in my home." 2. "Having a natural bright-red color to my lips is good." 3. "You cannot smell carbon monoxide, so it can be difficult to detect." 4. "I should have my furnace checked for leaks before turning it on."

2

59. The nurse and an unlicensed assistive personnel (UAP) are caring for clients on a medical unit. Which nursing task cannot be delegated to the UAP? 1. Obtaining the intake and output on a client diagnosed with food poisoning. 2. Performing a dressing change on the client with a chemical burn. 3. Assisting a client who overdosed on morphine to the bedside commode. 4. Help a client with carbon monoxide poisoning turn, cough, and deep breathe.

1

60. The charge nurse is making assignments. Which client should be assigned to the most experienced nurse? 1. The client diagnosed with a snake bite who is receiving antivenin. 2. The client who swallowed a lye preparation and is being discharged. 3. The client who is angry the suicide attempt did not work. 4. The client who required skin grafting after a chemical spill.

3

51. The client has ingested a corrosive solution containing lye. Which intervention should the nurse implement? 1. Administer syrup of ipecac to induce vomiting. 2. Insert a nasogastric tube and connect to wall suction. 3. Assess for airway compromise. 4. Immediately administer water or milk.

2

52. The male client was found in a parked car with the motor running. The paramedic brought the client to the ED with complaints of a headache, nausea, and dizziness and the client is unable to recall his name or address. On assessment, the nurse notes the buccal mucosa is a cherry-red color. Which intervention should the nurse implement first? 1. Check the client's oxygenation level with a pulse oximeter. 2. Apply oxygen via nasal cannula at 100%. 3. Obtain a psychiatric consult to determine if this was a suicide attempt. 4. Prepare the client for transfer to a facility with a hyperbaric chamber.

1

54. A vat of chemicals spilled onto the client. Which action should the occupational health nurse implement first? 1. Have the client stand under a shower while removing all clothes. 2. Check the material safety data sheets for the antidote. 3. Administer oxygen by nasal cannula. 4. Collect a sample of the chemicals in the vat for analysis.