A nurse is assessing a school-age child's cranial nerve function.
Which of the following actions should the nurse ask the child to take when assessing the accessory nerve?

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.

The nurse should initiate droplet isolation precautions when admitting a child who has acute epiglottitis.

Epiglottitis is commonly caused by Haemophilus influenzae type B and can be transmitted through respiratory droplets.

Choice A is wrong because obtaining a throat culture is not recommended when epiglottitis is suspected, as it can cause further obstruction of the airway.

Choice C is wrong because assisting the child into a supine position can worsen the airway obstruction.

Children with epiglottitis prefer to sit upright with the chin extended and mouth open.

Choice D is wrong because checking oxygen saturation every 4 hours may not be frequent enough for a child with acute epiglottitis who may require continuous monitoring of oxygen saturation.