A toddler is brought to the emergency department by ambulance. The parents state that they think the child "got into something" at a friend's house. The nursing assessment reveals stiffness in the face and neck and hyperreflexes
The nurse is correct to suspect ingestion of which of the following agents?
a. Strychnine
b. Cocaine
c. Methamphetamine
d. Modafinil (Provigil)
ANS: A
A common cause of strychnine poisoning is accidental ingestion from strychnine-based rodenticides. The first manifestation of poisoning is stiffness in the muscles of the face and neck, followed by a generalized increase in reflex excitability.
The assessment findings are inconsistent with cocaine or methamphetamine overdose.
The assessment findings are not consistent with modafinil overdose or ingestion.
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