Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Neonatal

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A child ingested twenty maximum strength acetaminophen tablets thirty minutes ago and is seen at the emergency department. The ER nurse calls one of the staff nurses at the NICU to identify which physician’s order should be done first. The NICU nurse should state that it must be:
  1. Gastric lavage PRN
  2. Acetylcesteine for age per pharmacy
  3. Activated charcoal per pharmacy
  4. Start IV dextrose 5% with 0.33% normal saline KVO
Explanation
Answer - A - The ER nurse calls one of the staff nurses at the NICU to identify which physician’s order should be done first. The NICU nurse should state that it must be gastric lavage PRN. The nurse must remove the drug as much as possible through a gastric lavage. The next would be the activated charcoal and lastly, the IV fluids.
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