A toddler is brought to the emergency department after ingesting several tablets of acetaminophen from a bottle that the toddler found in the mother's purse. The healthcare provider prescribes N-acetylcysteine solution for oral administration. Which action should the nurse implement if the child vomits?

Teach parents about poison prevention in young children.

Lavage activated charcoal before giving acetylcysteine dose.

If dose is vomited within 1 hour of administration, repeat that oral dose.

Obtain blood samples to monitor liver function.

Answer and Explanation

The Correct Answer is C

Rationale:
A. Teach parents about poison prevention in young children: While this is an important long-term intervention, it does not address the immediate concern of replacing a potentially lost therapeutic dose of the antidote. Teaching should occur after the child’s safety is ensured.

B. Lavage activated charcoal before giving acetylcysteine dose: Activated charcoal may reduce acetylcysteine’s effectiveness when administered together. Gastric lavage is not routinely indicated if the child is alert and beyond the immediate ingestion window, and is not a substitute for re-dosing the antidote.

C. If dose is vomited within 1 hour of administration, repeat that oral dose: Re-administering N-acetylcysteine within one hour of vomiting ensures the child receives an effective therapeutic dose. Prompt re-dosing is crucial in preventing hepatic damage.

D. Obtain blood samples to monitor liver function: Liver function tests are part of ongoing monitoring but do not address the acute need to ensure the antidote is absorbed. Blood work is secondary to ensuring that the child receives the full therapeutic dose.

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Free Nursing Study Resources

Correct Answer is B

Explanation

Rationale:

A. Avoid using cosmetics that block sebaceous glands: This advice is more relevant to preventing acne rather than tinea pedis. Tinea pedis, or athlete's foot, is caused by a fungal infection, not by clogged sebaceous glands.

B. Wear water shoes in the public shower: Tinea pedis is commonly transmitted in moist, communal environments like showers and locker rooms. Wearing protective footwear minimizes contact with contaminated surfaces, helping prevent infection.

C. Do not share a brush or comb with anyone: This applies to the prevention of tinea capitis (fungal scalp infection), not tinea pedis. Hair grooming items are not typically involved in the transmission of athlete’s foot.

D. Use moisturizing creams to retain skin moisture: Fungi thrive in warm, moist environments. Applying moisturizers excessively, especially between the toes, can promote fungal growth rather than prevent it. Dry, clean feet are key to prevention.

A. Depression or withdrawn behavior B. Oversedation C. Untreated pressure injuries D. Bruises in various stages of healing E. Poor personal hygiene F. Leaving an older adult in a public space

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"C"},"F":{"answers":"B"}}

Explanation

Rationale:

Depression or withdrawn behaviour: This behavior is often seen in neglected elders who lack meaningful interaction, care, or stimulation. Emotional neglect and isolation can lead to signs of withdrawal and sadness.
Oversedation : Overmedicating a client to control behavior or suppress activity is considered physical abuse. It reflects intentional harm or misuse of medications, especially when used to subdue.
Untreated pressure injuries: Failure to address and treat pressure ulcers indicates neglect, especially when the wounds are visible and advanced. It shows a lack of basic caregiving and health maintenance.
Bruises in various stages of healing: Multiple bruises at different stages suggest repeated physical trauma over time. This is a strong red flag for physical abuse rather than accidental injury.
Poor personal hygiene: Long, dirty nails and unclean conditions point to inadequate caregiving. Basic hygiene neglect often reflects poor or absent daily care practices.
Leaving an older adult in a public space: Leaving an elder alone in public with no supervision or support meets the definition of abandonment. It places the individual in a vulnerable and unsafe situation.

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Naxlex Comprehensive Predictor Exams

The camp nurse is teaching adolescents about the prevention of tinea pedis. Which instruction should the nurse include in the teaching plan?

Correct Answer is B

Explanation

Patient Data Exhibits Click to indicate if the listed manifestations of abuse is consistent with physical abuse, abandonment, or neglect. Each row must have only one response option selected.

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"C"},"F":{"answers":"B"}}

Explanation

When providing education for a client newly diagnosed with type 1diabetes, which information is most important for the nurse to provide the client?

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