A client is admitted to the Emergency Department after snorting ...

[JMatthes]

A client is admitted to the Emergency Department after snorting phencyclidine piperidine (PCP). The healthcare provider has determined that the client overdosed on the drug.
 
  What actions does the nurse anticipate will be done to care for this client? (Select all that apply.) 1. Induce vomiting
   2. Obtain materials to assist with lavage
   3. Initiate seizure precautions
   4. Initiate an IV
   5. Administer Narcan as prescribed

Question 2

How should the nurse position the patient who is to receive an enema?
 
  a. left side-lying with right knee bent c. prone
  b. supine d. right side-lying

[emsimon14]

Answer to Question 1

3. Initiate seizure precautions
4. Initiate an IV

Rationale:
The client has taken an overdose of phencyclidine piperidine (PCP), which can produce an adrenaline-like response, or speed reaction. PCP overdose is associated with possible hypertensive crisis, respiratory arrest, hyperthermia, and seizures. The client will require an IV line. The client will need to have seizure precautions such as padded side rails initiated. Vomiting is induced for overdoses of alcohol, barbiturates, and benzodiazepines. Lavage would be an inappropriate treatment for inhalation of any substance. Narcan is a narcotic antagonist administered for opiate overdose.

Answer to Question 2

A
The nurse should assist the patient assume a left lateral position with the right leg flexed as sharply as possible. This position facilitates the flow of solution into the rectum and colon. The flexed leg provides the best exposure of the anus.