Practice Quiz

NCLEX-RN

Category - Care Management

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Rick Rescue, RN is caring for a three-year-old client who ingested an unknown quantity (according to her parents, approximately ten to twenty) of extra strength acetaminophen caplets less than an hour ago. In which order should Rick Rescue, RN should perform the prescribed treatments?

I. Mucomyst (acetylcysteine) per pharmacy
II. IV- D5 with 0.33%NS to keep vein open
III. Activated charcoal, per pharmacy
IV. Gastric lavage, PRN
  1. IV, III, I, II
  2. III, I, II, IV
  3. II, IV, III, I
  4. I, IV, II, III
Explanation
Answer: A - Gastric lavage is performed first to remove any undigested caplets still in the client’s stomach, followed by activated charcoal to absorb and neutralize the acetaminophen. Mucomyst is used in acetaminophen overdose to assist the liver filtering functioning without causing harm.
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