A patient who swallowed an unknown number of tablets is awake but confused, has dry skin, dilated pupils, urinary retention, and a rapid pulse. Which assessment is the priority?
Correct answer: A. Assess cardiac rhythm with an ECG and monitor vital signs
- A. Assess cardiac rhythm with an ECG and monitor vital signs
- B. Give an antipsychotic to control the confusion
- C. Induce vomiting to remove the remaining tablets
- D. Restrict oral fluids to prevent urinary retention
Explanation
These findings suggest an anticholinergic toxidrome, which can cause dangerous tachyarrhythmias and hyperthermia. ECG and vital-sign monitoring help identify cardiovascular deterioration; inducing vomiting is unsafe.
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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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