hard · NCLEX-RN safety
Avery is being evaluated for suspected botulism after consuming home-canned vegetables. The nurse notes ptosis, diplopia, and a weak gag reflex. Which actions are high-priority? Select all that apply.
- Induce vomiting to remove any remaining contaminated food
- Place the client on strict contact and droplet precautions
- Assess cranial nerve function and respiratory depth frequently
- Obtain the botulinum antitoxin for administration as ordered
- Prepare for immediate intubation and mechanical ventilation
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