A client has just been admitted after taking an overdose of aspirin. The nurse prepares to assist with which initial treatment?
1. Gastric lavage
2. Administration of medication to acidify the urine
3. Retroperitoneal dialysis
4. Hemodialysis
Correct Answer: 1
Rationale 1: Gastric lavage is indicated to remove any aspirin remaining in the stomach and is generally the initial treatment.
Rationale 2: Alkalinization of the urine is a recommended treatment for salicylism.
Rationale 3: No type of dialysis is recommended unless the client begins to exhibit severe symptoms of salicylism.
Rationale 4: Hemodialysis is not indicated unless severe symptoms of salicylism occur.
Global Rationale: Emesis, gastric lavage, and alkalinization of urine are indicated. Dialysis is of benefit in severe salicylate poisoning, but is not an initial action.
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