The nurse is caring for several patients who have been exposed to various types of poisoning. Which of the following interventions by the nurse would be most inappropriate for the specified toxic (poisoning) situation?
a. Activated charcoal; heavy metal poisoning
b. Gastric lavage; overdose of pills 30 minutes ago
c. Whole bowel irrigation; ingestion of lead
d. Surface decontamination; exposure of skin to topical toxicants
A
Activated charcoal is contraindicated in heavy metal poisoning, because it is poorly absorbed.
Gastric lavage is indicated for an overdose of pills within 60 minutes. This patient fits that crite-rion.
Whole bowel irrigation is indicated for lead ingestion. This patient fits the that criterion.
Surface decontamination is appropriate for topical exposure to toxicants. This patient fits that criterion.
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