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

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale

Polyuria, or excessive urination, is not a typical symptom of acute acetylsalicylic acid poisoning.

Choice B rationale

Neck vein distension is not a typical symptom of acute acetylsalicylic acid poisoning.

Choice C rationale

Jaundice, or yellowing of the skin and eyes, is not a typical symptom of acute acetylsalicylic acid poisoning.

Choice D rationale

Hyperpyrexia, or extremely high fever, can be a symptom of severe acute acetylsalicylic acid poisoning.

A. Vary daily routines when providing care for the child B. Keep the television on in the child's room for background noise C. Keep staff visits with the child brief D. Place the child in a semiprivate room.

Correct Answer is C

Explanation

Choice A rationale

Children with autism spectrum disorder often thrive on routines and predictability. Varying daily routines can be distressing and may lead to increased anxiety.

Choice B rationale

Background noise, such as from a television, can be overstimulating for a child with autism spectrum disorder. It is generally recommended to provide a quiet environment to help the child feel more comfortable and at ease.

Choice C rationale

This is the correct intervention. Children with autism spectrum disorder may have difficulty with social interactions and may become overwhelmed by prolonged or intense interactions. Keeping staff visits brief allows for positive interactions while minimizing potential stress for the child.

Choice D rationale

Placing the child in a semi-private room may expose them to additional stimuli and potential social interactions, which can be overwhelming for a child with an autism spectrum disorder. A private room may provide a quieter and more controlled environment.

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A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline.Which of the following findings should the nurse expect?

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A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline.
Which of the following findings should the nurse expect?