A nurse working in the emergency department is assigned to a child who is arriving by ambulance after being involved in a spill of organophosphate insecticides
What will the nurse expect to be the initial priority for treating this child?
a. Administering diphenhydramine to control secretions
b. Giving diazepam to control seizures
c. Providing mechanical ventilation and oxygen
d. Reporting the spill to the Environmental Protection Agency
ANS: C
All of these courses of action may be part of the treatment. However, the initial concern is to prevent death from apnea caused by laryngospasm, bronchoconstriction, and paralysis leading to apnea; therefore, maintaining an airway is the most important consideration. Pralidoxime is the specific antidote and should be given next. Atropine is used to control secretions. Diazepam is given when seizures occur. Reporting the accident to the proper authorities is not a priority during a life-threatening emergency.
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A community health nurse is assigned to cover a school health office when the school's nurse is ill. A child is waiting for the nurse's arrival, saying a particular medication is needed. Which of the following can the nurse expect to find
in the school health office? (Select all that apply.) a. A nursing policy book with standing orders and nursing protocols b. Medications clearly labeled with student name, as well as typical medication information (e.g., name, dose) c. Approval from the student's teacher for the student to see the nurse for the medication each day d. The student's written assent for the medication to be administered when requested e. Written request from a health care provider for that student to receive that medication f. Written request from the student's parents for the specific medication to be administered
A 75-year-old client takes Digoxin for an irregular heart rhythm. Over the past week the client has had nausea and vomiting, and has not eaten in 2 days. The client now presents with weakness, bradycardia, and visual disturbances
What laboratory tests would the nurse monitor for this client? A) hemoglobin B) serum electrolytes and therapeutic drug levels C) urine analysis D) calcium levels
A new mother tells the nurse that she is having difficulty breastfeeding her baby. When observing the mother, which actions prompt the nurse to provide teaching about proper breastfeeding techniques? Select all that apply
A) The mother carefully washes her breasts prior to feeding the infant. B) The mother feeds the infant every hour. C) The mother supplements feedings with water. D) The mother holds her breast in the "C" position. E) The mother strokes the nipple against the infant's face.
An adolescent teen has bulimia. Which assessment finding should the nurse expect?
a. Diarrhea c. Cold intolerance b. Amenorrhea d. Erosion of tooth enamel