A nurse in an emergency department is caring for a preschool-age child who has acute acetylsalicylic acid poisoning.
Which of the following should the nurse expect?
Hyperpyrexia.
Polyuria.
Neck vein distention.
Jaundice.
The Correct Answer is A
When a child ingests a toxic dose of acetylsalicylic acid, it can lead to salicylate toxicity, which can cause hyperpyrexia (high fever), among other symptoms such as vomiting, tinnitus, confusion, and dehydration. Hyperpyrexia is a serious complication that can lead to neurological damage and is a medical emergency that requires prompt intervention.
The nurse should monitor the child's temperature and administer antipyretic medications as necessary to reduce the fever.
Choice B is wrong because Polyuria, is not a common symptom of acute acetylsalicylic acid poisoning.
Salicylate toxicity can cause dehydration due to vomiting, which can lead to decreased urine output.
Choice C is wrong because Neck vein distention, is not typically associated with acetylsalicylic acid poisoning.
Neck vein distention is commonly seen in patients with heart failure, tension pneumothorax, or cardiac tamponade.
Choice D is wrong because Jaundice, is not a common symptom of acetylsalicylic acid poisoning. Jaundice is usually seen in liver diseases or hemolytic anemias.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
During a seizure, it is important to clear the area around the person of anything hard or sharp to prevent injury.
Choice A is wrong because Minimize movement of the limbs, is not a recommended action during a seizure as it is important not to hold the person down or try to stop their movements.
Choice B is wrong because Insert a tongue blade between the teeth, is not a recommended action during a seizure as it is important not to put anything in the person’s mouth.
Choice D is wrong because Place the child in a prone position, is not a recommended action during a seizure as it is important to turn the person gently onto one side to help them breathe.
Correct Answer is B
Explanation
Encourage physical activity as tolerated.
Children with sickle cell disease may need occasional rests from classroom activities but should be encouraged to participate in physical activity as tolerated.
Choice A is wrong because cold compresses are not recommended for pain management in sickle cell disease.
Choice C is wrong because there is no need for a child with sickle cell disease to wear a surgical mask to school.
Choice D is wrong because it is important for children with sickle cell disease to drink water throughout the day to avoid dehydration 1.
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