Practice Quiz

Clinical Nurse Specialist CNS Adult Practice Test

Category - AACN Clinical Nurse Specialist Practice Test

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A nurse finds a client lying unconscious on the floor. An empty bottle of tricyclic antidepressant pills is found near the client. The immediate nursing action is to:
  1. Determine the number of pills taken
  2. Induce vomiting
  3. Alert the medical resuscitation team
  4. Determine the last dose of TCA taken
Explanation
Answer: C - Regardless of the number of pills taken and the last dose of TCA, a TCA overdose is a medical emergency and may result in life-threatening symptoms; therefore, alerting the medical resuscitation team is the best immediate action. Vomiting is not induced in an unconscious client.
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