Saunders NCLEX RN Pretest review
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Content: acetylsalicylic acid (aspirin) poisoning
A 5 year old boy is brought by his mother to the emergency
department after ingesting a bottle of acetylsalicylic acid.
Which procedure should be initially instituted with this child?
1. Administer ipecac by mouth and monitor emesis.
2.
Institute a gastric lavage and administer activated charcoal.
3.
Administer a chelating agent such as edetate calcium
disodium.
4.
Institute a gastric lavage and administer the antidote
acetylcysteine. - CORRECT ANSWER Answer:
2. Institute a gastric lavage and administer activated charcoal
Rationale: A gastric lavage must be performed after
ingestion of acetylsalicylic acid, and activated charcoal is
administered to prevent further absorption of the substance.
N-acetylcysteine is the antidote for acetaminophen.
Administering ipecac or edetate calcium disodium is not a
treatment measure for acetylsalicylic acid poisoning. Edetate
calcium disodium may be prescribed for the treatment of
lead poisoning. Ipecac causes vomiting, and this substance
is used only in specific poisoning co
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