Poisoning and Overdose Management · NCLEX Exam

What is the first nursing priority when a patient presents after suspected overdose?

  1. Administer activated charcoal before assessing the airway
  2. Secure airway, breathing, and circulation, then obtain toxin history
  3. Obtain a full toxicology screen before any other intervention
  4. Await laboratory results before starting any interventions
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Correct answer: Secure airway, breathing, and circulation, then obtain toxin history

The general approach to the poisoned patient begins with stabilization of the ABCs (airway, breathing, circulation) before decontamination, antidotes, or diagnostics.

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