The nurse is caring for a patient who has been receiving intravenous sodium nitroprusside [Nitropress] for 3 days. Which assessement data indicate the patient may be experiencing thiocyanate toxicity?
A. Sudden confusion
B. Difficulty breathing
C. Erythematous rash
D. Gastrointestinal bleeding
A. Sudden confusion
Explanation: When nitroprusside is given for several days, thiocyanate may accumulate, which can cause adverse effects. These effects, which involve the central nervous system (CNS), include disorientation, psychotic behavior, and delirium. Difficulty breathing, erythematous rash, and gastrointestinal bleeding are not adverse effects related to thiocyanate toxicity.
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