The nurse is teaching a class on the management of poisoning to ...

[rlane42]

The nurse is teaching a class on the management of poisoning to emergency department nurses. The nurse asks the class, Gastric lavage and aspiration should be reserved for which situation or situations?
 
  Which of the following would be correct? (Select all that apply.)
  a. Patients who have ingested caustic agents
  b. Situations in which the poison was ingested during the preceding hour
  c. Comatose patients
  d. Patients who have significant cardiac dysrhythmia
  e. Life-threatening ingestion of poison

Question 2

The nurse is teaching a community program on potential poisons in the home. The nurse asks the group, What service or services could a poison control center offer?
 
  Which response by a participant demonstrates the need for further teaching? The poison control center offers
  a. poison information and education.
  b. advice and consultation by telephone for toxic exposures.
  c. services provided 5 days a week.
  d. hazard surveillance to achieve hazard elimination.

[kkenney]

Answer to Question 1

ANS: B, E
Gastric lavage and aspiration are reserved for patients in life-threatening situations and only if less than 60 minutes has elapsed since the poison was ingested.
Gastric lavage and aspiration are contraindicated in patients who have ingested caustic agents because of the risk of esophageal perforation.
Gastric lavage and aspiration are contraindicated in comatose patients because of the risk of aspiration.
Gastric lavage and aspiration are contraindicated in patients with significant cardiac dysrhythmias.

Answer to Question 2

ANS: C
The poison control center is available 24 hours a day, 7 days a week; further teaching is needed.
The poison control center offers poison information and professional and public education; no further teaching is needed.
Poison control centers are accessible by telephone and can provide immediate instruction on management of acute poisoning; no further teaching is needed.
Poison control centers provide hazard surveillance; no further teaching is needed.

[rlane42]

Excellent

[olderstudent]

TYSM