A drowsy patient is brought to the emergency department after an unknown drug overdose. The respiratory rate is 7 per minute and the lips appear blue. Which action should the nurse take first?
Correct answer: C. Assess the airway and support breathing
- A. Ask the patient about the drug taken
- B. Place the patient in a quiet observation room
- C. Assess the airway and support breathing
- D. Obtain a detailed psychiatric history
Explanation
Airway and breathing are the immediate priorities because severe respiratory depression and cyanosis indicate a life-threatening problem. Identifying the substance and completing a psychiatric history are important later, after oxygenation and ventilation are supported.
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About Psychiatric Emergencies
Psychiatric emergencies include suicidal behavior, homicide risk, severe agitation, panic, acute psychosis, delirium, overdose, and withdrawal states. Students examine rapid risk assessment, crisis intervention, de-escalation, environmental safety, emergency medication, observation levels, and the immediate priorities that differ from routine psychiatric nursing care.
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