Pediatric ATI Practice Exam

When caring for a child who has ingested bleach, what understanding should the nurse demonstrate?

1. Absence of oral burns excludes esophageal burns.

2. Treatment focuses on neutralization of the chemical.

3. Corrosive liquid injury is less extensive than solids.

4. Immediate administration of activated charcoal is warranted.

The correct answer is: Treatment focuses on neutralization of the chemical.

The focus of treatment for a child who has ingested bleach should center on protecting the airway and mitigating the harmful effects of the chemical rather than attempting to neutralize it. Because bleach is a corrosive substance, trying to neutralize it could lead to further injury or complications. This aligns with the best practices in managing caustic ingestions, where the priority often includes preventing further damage and ensuring the child's safety, rather than direct treatment of the ingested substance itself. Ingestion of bleach typically requires supportive care and monitoring rather than any form of chemical neutralization. Nurses should be aware that treating such cases generally relies on maintaining the airway and potentially providing symptomatic support, thus highlighting the importance of understanding the appropriate protocols in these acute situations.