The poison control nurse receives a call from the caregiver of a young school age child who may have ingested a poisonous substance. Which is the priority response by the nurse?
What do you think that the child might have ingested?’
’At what time did the child ingest the substance?'
‘Induce vomiting while you wait for emergency personnel to arrive.'
‘Check breathing and heart rate.’
The Correct Answer is A
In case of suspected ingestion of a poisonous substance, the priority response of the poison control nurse should be to assess the child's vital signs, especially breathing and heart rate, to determine if the child is experiencing any immediate life-threatening symptoms. This information will help the nurse determine the appropriate course of action, such as whether to instruct the caregiver to perform CPR or to immediately call for emergency medical assistance.
Asking about the substance ingested and the time of ingestion are also important pieces of information to gather, but they should not take priority over assessing the child's vital signs. Inducing vomiting is generally not recommended unless instructed to do so by a medical professional, as it can cause further harm if the substance ingested is corrosive or caustic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Respiratory acidosis.
COPD is a chronic lung disease that can lead to an accumulation of carbon dioxide (CO2) in the body. This can cause respiratory acidosis, a condition in which the blood pH is lower than normal due to an excess of CO2.
In respiratory acidosis, the partial pressure of carbon dioxide (PaCO2) in the blood is increased and the pH is decreased. The kidneys atempt to compensate for the acidosis by excreting more acid in the urine and retaining more bicarbonate, but this compensation is usually not enough to fully correct the problem.
Metabolic alkalosis (option B) is a condition in which the blood pH is higher than normal due to an excess of bicarbonate in the blood. This is usually caused by loss of acid from the body, such as through vomiting or use of diuretics.
Respiratory alkalosis (option C) is a condition in which the blood pH is higher than normal due to a decrease in PaCO2. This can be caused by hyperventilation, which leads to excessive elimination of CO2 from the lungs.
Metabolic acidosis (option D) is a condition in which the blood pH is lower than normal due to an excess of acid in the blood. This can be caused by a variety of factors, including kidney failure or lactic acidosis.
Correct Answer is ["C","D","E"]
Explanation
- Use of blankets, pillows, and stuffed animals in the crib: It is important to educate parents about the risk of suffocation associated with soft objects in the crib. Infants should always sleep on their back in a crib with a firm matress and no loose bedding or soft objects.
- Correct placement of car seats: Properly installed car seats can help prevent serious injury or death in the event of a car accident. It is important to teach parents how to properly install car seats and use them correctly.
- Never leaving infant unatended in the bathtub: Drowning is a leading cause of death in young children, and infants can drown in just a few inches of water. It is important to remind parents to never leave their infant unatended in the bathtub, even for a moment.
Therefore, options c, d, and e are the most important topics to include when discussing safety with parents of infants. Options a and b may be important topics to discuss with older children, but they are not relevant to infants.
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