The nurse suspects that a child has ingested some type of poison. Which clinical manifestation would be most suggestive that the poison was a corrosive product?

a. Tinnitus
b. Disorientation
c. Stupor, lethargy, coma
d. Edema of lips, tongue, pharynx


ANS: D
Edema of lips, tongue, and pharynx indicates a corrosive ingestion. Tinnitus is indicative of aspirin ingestion. Corrosives do not act on the central nervous system (CNS).

Nursing

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The nurse is assessing an elderly patient and notices a significant drooping of the eyelid. The nurse recognizes this as which of the following?

a. Ectropion of the eyelid b. Entropion of the eyelid c. Impairment of the fourth cranial nerve d. Ptosis of the eyelid

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The husband of a laboring woman asks the nurse how he can help his wife throughout the first stage of labor. The nurse informs him that, in addition to all that he's doing now, he could tell her when the contraction(s):

a. Are 2 minutes apart. b. Is at its acme. c. Is at its increment. d. Is at its decrement.

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The nurse is caring for a child after a parathyroidectomy. What medication should the nurse have available if hypocalcemia occurs?

a. Insulin b. Calcium gluconate c. Propylthiouracil (PTU) d. Cortisone (hydrocortisone)

Nursing

The nurse studying the metric system learns that the following measurement is used to measure volume:

A) cm B) mL C) kg D) mg

Nursing