A nurse in an emergency department is assessing an adolescent who reports inhalation of gasoline.
Which of the following findings should the nurse expect?
Ataxia.
Hypothermia.
Hyperactive reflexes.
Pinpoint pupils.
The Correct Answer is A
Ataxia is a neurological sign that refers to a lack of muscle coordination and can cause staggering. Inhalation of gasoline vapors can cause symptoms such as dizziness or lightheadedness, headache, facial flushing, coughing or wheezing, staggering, slurred speech, blurry vision and weakness.
Choice B is wrong because Hypothermia is not an answer because hypothermia refers to a dangerously low body temperature and is not a symptom of gasoline inhalation.
Choice C is wrong because Hyperactive reflexes are not an answer because hyperactive reflexes refer to overactive or overresponsive reflexes and are not a symptom of gasoline inhalation.
Choice D is wrong because Pinpoint pupils are not an answer because pinpoint pupils refer to abnormally small pupils and are not a symptom of gasoline inhalation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Cleanse the gums with saline-soaked gauze.
This can help keep the mouth moist and clean, which is important for preventing infection and promoting healing of oral ulcers caused by chemotherapy.
Choice A is wrong because routine oral care should be performed more frequently than every 8 hours.
Choice B is wrong because lemon glycerin swabs can dry out and irritate the mucosa.
Choice C is wrong because oral viscous lidocaine should not be used in children due to the risk of toxicity.
Correct Answer is A
Explanation
A. Impetigo is a highly contagious superficial bacterial skin infection commonly caused by Staphylococcus aureus or Streptococcus pyogenes. Treatment includes topical antibiotic (bactericidal) ointments such as mupirocin, keeping lesions clean and covered, and good hand hygiene to prevent spread. Applying a bactericidal ointment directly treats the bacterial infection and promotes healing.
B.Soaking hairbrushes in boiling water for 10 minutesis more appropriate for infestations like lice. Impetigo is spread by direct contact with lesions or contaminated items, but routine washing with soap and water is sufficient. Boiling hairbrushes is unnecessary.
C. Acyclovir is an antiviral medication used for infections such as herpes simplex or varicella. Impetigo is bacterial, not viral, so antiviral therapy is inappropriate.
D.Sealingsoft toys in a plastic bag for 14 daysis used for lice management. Impetigo does not require sealing toys for extended periods. Normal laundering of contaminated items is sufficient.
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