RN Nursing Care of Children 2019

RN Nursing Care of Children 2019 ( 70 Questions)

Question 2 :

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?



Correct Answer: 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.


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