Poisoning and Overdose Management · NCLEX Exam

In a patient with acetaminophen overdose, which nursing action is most essential?

  1. Discharge the patient if they feel well on arrival
  2. Monitor liver enzymes and give N-acetylcysteine guided by the nomogram
  3. Limit care to monitoring blood pressure alone
  4. Administer vitamin K to prevent liver injury
Show answer and explanation

Correct answer: Monitor liver enzymes and give N-acetylcysteine guided by the nomogram

Acetaminophen overdose can cause hepatotoxicity; monitoring AST/ALT and giving N-acetylcysteine with timing based on the Rumack-Matthew nomogram are the key actions.

Difficulty: Medium Question 5 of 20

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