An unconscious child is brought to the ED as a victim of an accidental poisoning. The nurse will plan to:
a. administer syrup of Ipecac and provide for oral suctioning.
b. administer activated charcoal via a nasogastric or orogastric tube.
c. prepare the child for surgery to insert a gastric tube.
d. provide the child with large amounts of oral fluids.
ANS: B
Feedback
A Incorrect: Syrup of Ipecac is not longer endorsed by poison control centers or the AAP (American Academy of Pediatrics).
B Correct: Research has shown that activated charcoal or magnesium sulfate are effective in preventing gastric absorption of poisons. It would need to be administered via an N/G or orogastric tube, because the child is unconscious.
C Incorrect: There is not indication in the scenario that the child needs a surgically placed G-tube.
D Incorrect: Oral fluids are inappropriate, because the child is unconscious.
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