A client informs the nurse he ingested drain cleaner approximately 1 hour ago. What is the first priority for the nurse?
a. Support airway, breathing, and circulation.
b. Induce vomiting to remove the toxin.
c. Administer activated charcoal.
d. Observe for burns around the mouth.
a. Support airway, breathing, and circulation.
FEEDBACK:
a. Supporting airway, breathing, and circulation always take precedence over all other treatments. If the client is not breathing or does not have a pulse, all other treatments are invalid.
b. Inducing vomiting to remove the toxin would not be recommended, because a corrosive substance that goes down the esophagus will continue to burn if made to come up the esophagus. .
c. Administering activated charcoal is not recommended. .
d. Observing for burns around the mouth would be appropriate; however, it is not the first priority. .
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