9 poisonings
the nurse presented information to a group of parents about accident prevention for their toddlers. Which statement by a parent in the group indicates the need for further teaching?
I will have syrup of ipecac on hand at home & give it to my child if she gets into poison
recommendations for monitoring pts thought to have carbon monoxide poisoning include obtaining carboxyhemoglobin levels and ABG samples to evaluate the SaO2. In this pt population, the primary reason why pulse oximetry measurements (SpO2) are considered unreliable & inaccurate for monitoring SaO2 is bc the...
SpO2 does not specifically reflect the percentage of hemoglobin saturated w/ O2
when caring for a pt admitted to the ICU following ingestion of 50 tabs of acetaminophen, the critical care nurse recognizes that hepatic encephalopathy w/ progressive symptoms occurs approximately 48 to 96 hrs after ingestion & can develop an appropriate plan of care to prioritize pt management. What physiologic process contributes to the pts progressive response to the toxic ingestion of acetaminophen?
absorption
a nurse is caring for an older adult who is taking acetaminophen (tylenol) for the relief of chronic pain. Which substance is most important for the nurse to determine if the pt is taking bc it intensifies the most serious adverse effect of acetaminophen?
alcohol
a young woman is admitted to the unit after having ingested an unknown amount of amphetamines, barbiturates, & alcohol. She has 3 children who are currently w/ their grandparents & states that she has been out of work for over a month. The most effective approach for the nurse to provide for this pts needs would be to....
arrange for a social worker to conduct a comprehensive assessment of needs
in which case of childhood poisoning would it be appropriate to induce vomiting?
a 2 yr/o who ate 2 leaves of poisonous plant before her mother could stop her
carbon monoxide poisoning results in decreased oxygen-carrying capacity of blood & hypoxia. One of the primary reasons why tissue hypoxia occurs w/ this disorder is...
shift to the left in the oxyhemoglobin dissociation curve
a nurse is teaching parents about different cases of accidental poisoning in children. In which case of accidental poisoning should the nurse teach the parents to give syrup of ipecac?
syrup of ipecac is contraindicated for use at home so it should not be given by parents
a child has just been admitted w/ an overdose of aspirin. The nurse notices that the pts blood gases indicate respiratory alkalosis & knows that the reason for this is what?
tachypnea causes respiratory alkalosis
a pt is admitted to the ICU following ingestion of an unknown substance. The pts ABGs are as follows: pH 7.5 pCO2 22mmHg pO2 120mmHg HCO3 15mEq/L anion gap>20 Based on these findings, the pt most likely ingested....
salicylates (aspirin)
a nurse working in a poison control center knows that which type of accidental poisoning occurs most frequently in toddlers?
ingestion by mouth
which of the following types of poisoning is least often recognized in the emergency setting?
lead poisoning
which of the following is the most frequent source of symptomatic lead poisoning in children?
lead-based paint
