A toddler arrives in the emergency department by ambulance. The nurse observes that the child's facial and neck muscles are stiff and that the child is hyperreflexive
The parents tell the nurse that the child ingested something at a neighbor's house. The nurse will correctly suspect which agent?
a. Amphetamines
b. Chocolate
c. Caffeine
d. Strychnine
ANS: D
Strychnine, which may be used in rat poisons, causes stiffness of the muscles of the face and neck, along with reflex excitability. Amphetamines produce dizziness, confusion, and convulsions. Theobromine, which is found in chocolate, is a methylxanthine and causes hyperactivity, vomiting, diarrhea, and cardiovascular effects. Caffeine causes excitement, restlessness, and cardiovascular effects.
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You note that Unit 64 has had a high turnover rate of staff during the past year. In selecting the appropriate action, it is important that:
a. All documentation is reviewed. b. Usual processes for discipline are fol-lowed. c. Confidentiality is assured. d. An incident report is filed.
An elderly patient has come to the clinic for a regular check-up. While reviewing a patient's history, the nurse notes that the patient has an increased thoracic curvature of the spine. What term describes this assessment finding?
A) Scoliosis B) Epiphyses C) Lordosis D) Kyphosis
The group that must accept role reversal with their parents is the:
1. younger adult group. 2. old young adults. 3. middle-aged adult. 4. older age adult.
The nurse is caring for a client who has been admitted with persistent diarrhea lasting 3 days. Which of the following is a priority nursing diagnosis for this client?
1. Risk for Infection 2. Decreased Cardiac Output 3. Knowledge Deficit 4. Pain