Saunders NCLEX RN Pretest review with 100% Verified Solutions | Updated & Verified | 2024

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. - 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 conditions; in this situation, vomiting can cause irritation of the esophagus. The nurse is reviewing the urinalysis results for a client with glomerulonephritis. Which findings should the nurse expect to note? Select all that apply.