A patient arrives in the emergency department with suspected intentional ingestion of a household cleaner. Which of the following initial actions is most appropriate for the nurse to take?
Start an IV with saline and administer naloxone.
Immediately perform gastric lavage.
Provide activated charcoal without assessing the nature of the ingested substance.
Ensure the patient is in a safe, quiet environment and begin initial assessment and stabilization.
Ensuring patient safety and stabilizing the patient's condition is the first priority upon their arrival in the emergency department. Establishing a secure and quiet environment helps prevent exacerbation of distress, allowing for more effective assessment and subsequent treatment. While obtaining a detailed medical history, monitoring vitals, and preparing for possible decontamination are important steps, they follow after ensuring patient safety and stabilization.
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Why is patient stabilization prioritized over decontamination in cases of ingestion?
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Why is gastric lavage not routinely performed in poisoning cases anymore?
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