Which of the five general principles for treating acute poisoning would the nurse use to treat a client who was exposed to an external chemical agent?
Standard Text: Select all that apply.
1. Topical decontamination
2. Increase in the rate of excretion
3. Prevention of absorption
4. Neutralization
5. Antidotes and symptomatic therapy
Correct Answer: 1,4,5
Rationale 1: Topical decontamination includes the removal of contaminated clothing and flushing of the skin or eyes. This would be appropriate for exposure to an external chemical agent.
Rationale 2: This would be appropriate for treating an acute poisoning through ingestion.
Rationale 3: This would be appropriate for treating an acute poisoning through ingestion.
Rationale 4: Application of an agent to neutralize the poison would be appropriate for an exposure to an external chemical agent.
Rationale 5: Antidotes and symptomatic therapy could be indicated for treating an external or internal chemical agent.
Global Rationale: Topical decontamination includes the removal of contaminated clothing and flushing of the skin or eyes. This would be appropriate for exposure to an external chemical agent. Application of an agent to neutralize the poison would be appropriate for an exposure to an external chemical agent. Antidotes and symptomatic therapy could be indicated for treating an external or internal chemical agent. The remaining actions are more specifically related to internal exposure.
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