A child is brought to the emergency department in a coma. The mother thinks the child may have ingested a poison. The nurse will assess: Standard Text: Select all that apply

1. For burns around the mouth.
2. The child's breath.
3. The child's vomitus.
4. Hair samples.
5. Blood and urine toxicology screens.


1,2,3,5
Rationale 1: Corrosives often leave evidence of burns on the mouth and gums.
Rationale 2: The breath may have characteristic odors that may help identify the poison.
Rationale 3: The vomitus may contain leaves, indicating the child has eaten a plant or other items that may provide information on the toxin.
Rationale 4: Hair samples can be used to test drug use over a period of time. It would not contain any valuable information for this child.
Rationale 5: These tests will look for a wide variety of toxins.
Global Rationale:

Nursing

You might also like to view...

A delay in deterioration and accommodation to dysfunction are goals of rehabilitative and restorative nursing

Indicate whether the statement is true or false

Nursing

The chief nursing officer at a local hospital seeking Magnet™ status creates staff development classes about incorporating evidence-based practice in nursing. What best describes evi-dence-based practice?

a. Applying best research evidence to care of patients b. Using research-based information to de-velop practice guidelines c. Conducting a randomized control trial to determine effectiveness of handwashing techniques d. Developing standards for practice

Nursing

Some people hide their health condition from others because ______.

a. it is no one else’s business b. they are concerned that other people will try to help them c. they are concerned that other people will treat them differently/negatively

Nursing

One of the staff nurses was attending graduate school to learn more about critical care. The nurse manager asked the staff nurse to develop policies and procedures for the new cardiac rehabilitation program that was to be opened the next year

According to Argyris's psychological energy theory, the nurse manager was: a. Decreasing the staff nurse's productivity b. Increasing the staff nurse's morale c. Matching the staff nurse's talents with the job d. Increasing the staff nurse's motivation

Nursing