A nurse is monitoring an infant who is receiving opioids for pain.
Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?

Choice A rationale:

Providing frequent range of motion to the neck and shoulders is not appropriate for an infant with bacterial meningitis. Meningitis is an inflammation of the membranes surrounding the brain and spinal cord and can cause severe neck pain and stiffness. Range of motion exercises could exacerbate the discomfort and should be avoided.

Choice B rationale:

Keeping the television on in the room to provide background noise is not appropriate for an infant with bacterial meningitis. Infants with meningitis need a quiet and calm environment to reduce stimuli and promote healing.

Choice C rationale:

Padding the side rails of the crib is important to prevent injury during seizures, which can occur in bacterial meningitis. Seizures can cause uncontrolled movements, and padding the crib rails can prevent the infant from getting hurt during these episodes.

Choice D rationale:

Placing the infant in a semiprivate room is not appropriate for bacterial meningitis. Infants with meningitis need isolation to prevent the spread of the infection to other patients. They should be placed in a private room with strict infection control measures in place.

Choice A rationale:

Acute acetylsalicylic acid (aspirin) poisoning can lead to hyperpyrexia, which is an extremely high fever, often above 106°F (41.1°C) This hyperpyrexia occurs due to the toxic effects of salicylates on the hypothalamus, the part of the brain that regulates body temperature. Aspirin poisoning can disrupt the body's ability to regulate temperature, leading to a dangerously high fever.

Choice B rationale:

Neck vein distention is not a common symptom of acute acetylsalicylic acid poisoning. This finding is more indicative of issues related to the cardiovascular system, such as heart failure or fluid overload.

Choice C rationale:

Polyuria (excessive urination) is not a typical symptom of acute aspirin poisoning. Aspirin toxicity is more likely to cause dehydration due to increased respiratory rate and metabolic acidosis.

Choice D rationale:

Jaundice, the yellowing of the skin and eyes, is not a characteristic symptom of acute acetylsalicylic acid poisoning. Jaundice typically occurs in conditions affecting the liver, such as hepatitis or liver failure.