The nurse is working in the emergency department, and is ...

[mikaylakyoung]

The nurse is working in the emergency department, and is anticipating the arrival of a client who fell from a second story window. The priority of care for this client upon arrival would be:
 
  1. Assessing the blood pressure.
  2. Determining level of consciousness.
  3. Establishing and maintaining a patent airway.
  4. Examining the client for blood loss.

Question 2

A client who experienced poisoning is about to be discharged from the hospital, and asks the nurse is it would be helpful to have syrup of ipecac in the home for emergency purposes.
 
  The nurse should explain that syrup of ipecac is not recommended for the home because:
 
  1. The client can overdose on the medication.
  2. Ipecac induces vomiting, which could cause airway damage.
  3. Charcoal is a better substitute for all poisonings.
  4. The client might not be able to find the medication when needed.

[kxciann]

Answer to Question 1

Answer: 3

1. Assessing vital signs is completed once the airway is established.
2. Determining level of consciousness is completed during the neurological assessment after the airway is deemed patent.
3. The priority nursing action for any victim of trauma is establishing and maintaining an airway.
4. Checking for blood loss would be completed during the total body assessment, but would be a priority if the blood pressure were low.

Answer to Question 2

Answer: 2

1. Ipecac is not recommended in the home, because it is not for use for all types of poisoning.
2. If the poison is corrosive, vomiting brings the substance back into the upper airway, and could cause airway damage.
3. Activated charcoal is used for poisoning, but is not necessarily effective against all poisons.
4. The client would probably keep the medication handy, but might not be able to realize that the medication should be avoided with some poisons. The nurse should instruct the client to call the poison control center when ingestion is suspected.

[mikaylakyoung]

Thank you

[kxciann]

Happy to help you