Poisoning and Overdose Management · NCLEX Exam

A patient with altered mental status and suspected overdose: what should the nurse give empirically while evaluation continues?

  1. No treatment until the ingestion history is fully clarified
  2. Empiric dextrose for hypoglycemia, thiamine, and naloxone if opioids are suspected
  3. Empiric broad-spectrum antibiotics for presumed sepsis
  4. Activated charcoal immediately, before securing the airway
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Correct answer: Empiric dextrose for hypoglycemia, thiamine, and naloxone if opioids are suspected

In undifferentiated altered mental status, prompt empiric correction of hypoglycemia (dextrose), thiamine, and naloxone (if opioid toxicity is suspected) is recommended while evaluation continues.

Difficulty: Medium Question 3 of 20

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