The client has salicylate poisoning. Which assessment findings should the nurse expect to be associated with this problem?
A. Increased deep tendon reflexes
B. Increased rate and depth of respiration
C. Circumoral cyanosis and slow capillary refill
D. Decreased intestinal motility and paralytic ileus
B
Salicylates are acidic and salicylate poisoning increases the rate and depth of ventilation in two ways. First, salicylates directly stimulate the respiratory centers. Secondly, by causing a metabolic acidosis, and reducing the pH of the blood, the respiratory centers are stimulated to compensate.
You might also like to view...
Which of the following entities has been most active in creating change and alternative approaches in health care delivery?
a. Consumers b. Corporations c. Health care professionals d. State legislators
A nurse educator is explaining the differences in early efforts at quality improvement for health care compared to today's quality assurance efforts
. She asks participants to move items that related to quality assurance to a list on the right leaving items related to quality improvement on the left. Which items would be moved to the right under "Quality Assurance"? (Select all that apply.) Quality Improvement Quality Assurance a. Inspection oriented (detection) b. Leadership: actively leading quality efforts c. Problem solving by authority d. Correction of common causes e. Responsibility of few people
When administering intramuscular injections to an elderly client, the nurse prepares to use which of the following injection sites:
a. deltoid. c. rectus femoris. b. vastus lateralis. d. ventrogluteal.
The nurse is preparing to give a dose of trimethoprim-sulfamethoxazole (TMP-SMX) and learns that the patient takes warfarin (Coumadin). The nurse will request an order for
a. a decreased dose of TMP-SMX. b. a different antibiotic. c. an increased dose of warfarin. d. coagulation studies.