Running head: NR 328 SIMULATION JP 1

NR 328 Simulation JP

Chamberlain University

September 28, 2018

NR 328 SIMULATION JP 2

NR 328 Simulation JP

1. Identify pediatric populations at risk for poisoning and list 3 agents used for

gastrointestinal decontamination. Describe how nutrition may be affected in a child

who has ingested a poison. According to pediatric ATI textbook the risk for poisoning is

children younger than 6 years of age. The three agents that can be used for

gastrointestinal decontamination include syrup of ipecac, activated charcoal, gastric

lavage, increasing gastric motility, and a specific antidote for that poison. N-

acetylcysteine is the antidote for acetaminophen. The nutrition will definitely be affected

during ingestion of any poison as the body’s response will be to vomit and excrete the

toxin. In late acetaminophen toxicity, the patient will also report right upper quadrant

pain which will decrease appetite as well.

2. List ways in which the nurse can maintain family-centered care during a medical

crisis. Can any aspect of the care be delegated to others? The nurse should remain

calm and support the child and parents, while unaccusingly exploring the circumstances

of the injury. When the patient is stabilized, the nurse should communicate with the

family on poison safety and reinforce proper storage of household items and medication.

The nurse should take in consideration the different coping mechanism and help the

family to overcome the incident and how to further prevent a recurrence. The aspect of

care may be delegated to others as during a medical crisis you may have several care

team individuals (physicians, nurses, poison control and etc). The parents also will play a

major role in helping the child to stay calm.

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3. What assessment findings, including your ABC head to toe physical assessment,

might the nurse discover on a pediatric patient who has ingested high levels of

acetaminophen? During 2 to 4 hours after ingestion sign and symptoms include nausea,

vomiting, sweating, and pallor. 24 to 36 hours after ingestion improvement in condition

appear. 36 hr to 7 days or longer, is known as the hepatic stage. Signs and symptoms

include pain in upper right quadrant, confusion, stupor, jaundice, and coagulation

disturbances. Final stage includes death or gradual recovery.

Medication Calculation: 1,050 mg of N-acetylcysteine.

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References

Henry, N. J., McMichael, M., Johnson, J., DiStasis, A., Roland, P., Wilford, K., & Barlow, M.

(2016). RN nursing care of children: Review module (10.0 ed.). Stilwell, KS: Assessment

Technologies Institute.

Hockenberry, M. J., Wilson, D., & Wong, D. L. (2015). Wongs nursing care of infants and

children (10th ed.). St. Louis, MO: Elsevier.

Silvestri, L., & Silvestri, A. (2017). Saunders comprehensive review for the NCLEX-RN

examination. ISBN: 978-0-323-35851-4.