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Use salt water to induce vomiting: Inducing vomiting at home is unsafe and generally not recommended; it can worsen injury (e.g., with corrosives or hydrocarbons).

Rush the child to the emergency department: In many cases the poison control center provides immediate instructions and triage advice; ED is needed if advised or if the child is symptomatic or the exposure is high-risk.

Routinely administer syrup of ipecac for any poison ingestion: Ipecac is no longer routinely recommended; it may be harmful and is not advised without specific medical direction.

Using the towel bar for support to stand up from the commode: Towel bars are not anchored to bear body weight and can pull out, causing a fall. Use a properly installed grab bar instead.

Leaning on the pedestal table in his bedroom when he dresses: Pedestal or lightweight tables can tip or slide and are unsafe as weight-bearing supports.

Using a small stepladder to reach an item on an upper shelf: Stepladders increase fall risk for someone with weak knees; better options are a long-handled reacher or having items relocated to lower shelves.

Impaired gas exchange related to cigarette smoking: True as a long-term problem (COPD, chronic effects), but not the immediate priority compared with active fire risk from smoking in bed.

Anxiety related to inability to stop smoking: May be present, but it’s not the immediate safety priority.

Deficient knowledge related to lack of follow-through of recommendation to stop smoking: Education is needed, but first address the immediate life-threat (fire/suffocation); knowledge deficits are secondary.

Give the child milk: While milk was once considered a diluent for certain ingestions, it should not be given unless specifically advised by a poison control expert. It may interact with the substance ingested or delay appropriate treatment.

Give the child syrup of ipecac: Syrup of ipecac induces vomiting but is no longer recommended due to lack of evidence of benefit and risk of complications like aspiration, prolonged vomiting, and delayed treatment.

Take the child to the emergency department: While going to the ER may be necessary, Poison control can advise whether an ER visit is needed and what steps to take en route.

Activity intolerance: This diagnosis refers to a lack of physiological energy to complete activities, often due to cardiovascular or respiratory compromise.

Impaired bed mobility: This applies to difficulty moving in bed (turning, repositioning).

Acute pain: There is no indication of pain in the assessment data. Acute pain might contribute to mobility issues, but it must be explicitly assessed and reported to justify this diagnosis.