Final answer:
When caring for a toddler who has ingested bleach, a nurse should provide supportive care, protect the airway, and avoid inducing vomiting. The skin or eyes, if contaminated, should be washed with water and detergent, followed by a weak solution to neutralize chemicals. Contacting poison control for guidance is essential.
Step-by-step explanation:
The treatment a nurse should anticipate when providing care to a toddler-age client who ingested bleach is primarily supportive and symptomatic, as there is no specific antidote for bleach ingestion. The first action is to ensure the airway is protected and the child is breathing adequately. Do not induce vomiting or give anything orally. Since bleach is a corrosive substance, if ingested, it can cause damage to the esophagus and stomach, which may be severe. It's important for the nurse to monitor for signs of distress and be prepared to provide supportive care such as intravenous fluids and pain management.
Contamination of the skin or eyes should be treated by washing with warm water and detergent, followed by a weak solution such as 1 N NaOH or a 1:10 dilution of bleach to neutralize any residual chemical. In the event of a bleach ingestion, the immediate priority is to contact poison control and follow their advice, which may include seeking immediate medical attention at a healthcare facility.