The nurse is invited to a childcare center for a safety class. An employee comes running into the class and says to the nurse, "I think one of the children swallowed a poisonous chemical from our storage area
" What is the first action by the nurse?
a. Identify the poison then call 911 or the local emergency number.
b. Assess for signs and symptoms then call 911 or the local emergency number.
c. Call 911 immediately, even if the child has no symptoms.
d. Induce vomiting on the child then call 911.
C
In all cases of suspected poisoning, call 911 or the local emergency number first. Even if the person is having no symptoms, call as soon as possible. The most appropriate treatment is usually dependent on the poison ingested. For most poisonings, the most effective intervention is professional administration of activated charcoal orally or via a gastric tube. Never induce vomiting when the ingested material is acidic or caustic to the esophagus. Although the American Academy of Pediatrics no longer recommends inducing emesis, some practitioners may still do so.
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