HESI Comprehensive Exam

A child is brought to the emergency department by ambulance after swallowing several capsules of acetaminophen. What statement by the nurse indicates a need for further information? "We need to administer the antidote N-acetyl cysteine and dilute it in juice or soda." "A loading dose of N-acetyl cysteine has to be followed by maintenance doses." Incorrect "We need to give N-acetyl cysteine before we do gastric lavage with activated charcoal." "If the child is unconscious, we must do gastric lavage with activated charcoal to decrease the absorption of acetaminophen." - "We need to give N-acetyl cysteine before we do gastric lavage with activated charcoal." Rationale: There is a need for further information if the nurse states, "We need to give N-acetyl cysteine before we do gastric lavage with activated charcoal." Activated charcoal with lavage is done if the child is unconscious, but N-acetyl cysteine cannot be used because activated charcoal inactivates the antidote. If given orally, it can be diluted in juice or soda, and a loading dose of N-acetyl cysteine must be followed by maintenance doses. A child who has just been found to have scoliosis will need to wear a thoracolumbosacral orthotic (TLSO) brace, and the nurse provides information to the mother about the brace. Which statement by the mother indicates a need for further information? "My child will need to do exercises." "My child needs to wea