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A 14-Year-Old Girl Is Admitted to the ER with a Suspected

Question 41

Multiple Choice

A 14-year-old girl is admitted to the ER with a suspected overdose of an unknown drug. Arterial blood gasses (ABG) are drawn with the following results: pH 7.31, PO2 88, PCO2 59, HCO3 22. Identify the initial action to be taken by the nurse.


A) Insert a large-gauge nasogastric tube for gastric lavage.
B) Insert a Foley catheter and obtain a urine for drug screen.
C) Use a manual ventilator (ambu-bag) to assist with ventilation.
D) Attach the client to a cardiac monitor and watch for dysrhythmia.

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