A 15-year-old female with a history of depression and recent relationship troubles with her close friends is brought to the emergency department by her concerned parents after they found an empty bottle of maximum-strength acetaminophen in her room. Upon questioning, the patient tearfully admits to ingesting 15 tablets of the medication 45 minutes ago. She is visibly anxious and frequently looks at the marks on her wrists, which seem to be superficial scratches. Vital signs as of 1115: Blood pressure: 120/70 Heart rate: 88 bpm Respiratory rate: 18 bpm Oxygen saturation: 98% on room air As the nurse prepares to address the situation, several orders from the primary care provider come in. Which of the following orders should the nurse prioritize and carry out first? A. Perform gastric lavage B. Administer acetylcysteine (Mucomyst) orally C. Start an IV with Dextrose 5% and 0.33% normal saline D. Have the patient drink activated charcoal mixed with water E. Conduct a psychiatric evaluation. F. Apply wrist restraints to prevent further self-harm.

A 15-year-old female with a history of depression and recent relationship troubles with her close friends is brought to the emergency department by her concerned parents after they found an empty bottle of maximum-strength acetaminophen in her room. Upon questioning, the patient tearfully admits to ingesting 15 tablets of the medication 45 minutes ago. She is visibly anxious and frequently looks at the marks on her wrists, which seem to be superficial scratches. Vital signs as of 1115: Blood pressure: 120/70 Heart rate: 88 bpm Respiratory rate: 18 bpm Oxygen saturation: 98% on room air As the nurse prepares to address the situation, several orders from the primary care provider come in. Which of the following orders should the nurse prioritize and carry out first? A. Perform gastric lavage B. Administer acetylcysteine (Mucomyst) orally C. Start an IV with Dextrose 5% and 0.33% normal saline D. Have the patient drink activated charcoal mixed with water E. Conduct a psychiatric evaluation. F. Apply wrist restraints to prevent further self-harm.

Essentials of Pharmacology for Health Professions

7th Edition

ISBN:9781305441620

Author:WOODROW

Publisher:WOODROW

Chapter10: Poison Control

Section: Chapter Questions

Problem 8CRQ

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