An unconscious child is brought to the ED as a victim of an ...

[kshipps]

An unconscious child is brought to the ED as a victim of an accidental poisoning. The nurse will plan to:
 
  a. administer syrup of Ipecac and provide for oral suctioning.
  b. administer activated charcoal via a nasogastric or orogastric tube.
  c. prepare the child for surgery to insert a gastric tube.
  d. provide the child with large amounts of oral fluids.

Question 2

The nurse prepares to administer an intramuscular injection to a child. The first action is to:
 
  a. allow the child to choose what time the youngster will get the injection.
  b. prepare to administer the injection in the subcutaneous tissue.
  c. ask to parents to stay in the room with the child during the injection.
  d. apply a topical local anesthetic (EMLA, etc) to the site 1-2 hours prior to injection.

[Jevvish]

Answer to Question 1

ANS: B

Feedback
A Incorrect: Syrup of Ipecac is not longer endorsed by poison control centers or the AAP (American Academy of Pediatrics).
B Correct: Research has shown that activated charcoal or magnesium sulfate are effective in preventing gastric absorption of poisons. It would need to be administered via an N/G or orogastric tube, because the child is unconscious.
C Incorrect: There is not indication in the scenario that the child needs a surgically placed G-tube.
D Incorrect: Oral fluids are inappropriate, because the child is unconscious.

Answer to Question 2

ANS: D

Feedback
A Incorrect: This is not a choice for the child to make.
B Incorrect: This is an intramuscular injection.
C Incorrect: Parents should have a choice as to whether they stay in the room during any procedure.
D Correct: A topical local anesthetic to the injection site 1-2 hours prior to the injection will provide for pain management during the injection.

[kshipps]

TY

[Jevvish]

You're welcome