A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline.
Which of the following findings should the nurse expect?
Pinpoint pupils
Hypothermia
Ataxia
Hyperactive reflexes
The Correct Answer is C
Choice A rationale
Pinpoint pupils are not a typical finding in an adolescent who has inhaled gasoline. Pinpoint pupils are more commonly associated with opioid use.
Choice B rationale
Hypothermia is not a typical finding in an adolescent who has inhaled gasoline. Inhalation of gasoline can cause central nervous system depression, leading to symptoms such as dizziness, confusion, and ataxia.
Choice C rationale
Ataxia, or lack of muscle coordination, can occur after inhaling gasoline. The gasoline vapors can depress the central nervous system, leading to symptoms such as dizziness, confusion, and ataxia.
Choice D rationale
Hyperactive reflexes are not a typical finding in an adolescent who has inhaled gasoline. Inhalation of gasoline can cause central nervous system depression, leading to symptoms such as dizziness, confusion, and ataxia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is Choice C.
Choice A rationale: A cooling blanket is typically used to manage hyperthermia in conditions like malignant hyperthermia, not routine postoperative recovery. It might cause the toddler to become too cold, leading to hypothermia or discomfort.
Choice B rationale: IV dantrolene sodium is administered for malignant hyperthermia, a rare but serious reaction to certain anesthesia medications. It is not appropriate for routine surgical recovery unless such a reaction is suspected or diagnosed.
Choice C rationale: Using an incentive spirometer encourages deep breathing, helping to prevent postoperative respiratory complications like atelectasis and pneumonia. It is an effective tool to promote lung expansion and improve oxygenation in the recovering toddler.
Choice D rationale: Administering aspirin to a toddler is not recommended due to the risk of Reye's syndrome, a serious condition causing swelling in the liver and brain. Alternative pain management strategies should be utilized for pediatric patients.
Correct Answer is A
Explanation
Choice A rationale
The pneumococcal conjugate vaccine (PCV13) is recommended for children with sickle cell anemia. This is because individuals with sickle cell disease are at an increased risk of infection, and the PCV13 vaccine can help protect against Streptococcus pneumoniae, a bacterium that can cause serious infections like pneumonia and meningitis.
Choice B rationale
The Respiratory syncytial virus (RSV) vaccine is not typically included in the immunization schedule for children with sickle cell anemia.
Choice C rationale
While the Measles, Mumps, and Rubella (MMR) vaccine is part of the standard immunization schedule for all children, it is not specifically indicated for children with sickle cell anemia.
Choice D rationale
The Rotavirus vaccine is part of the standard immunization schedule for all infants, but it is not specifically indicated for children with sickle cell anemia.
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