A child is admitted to the pediatric intensive care unit with acetaminophen overdosage. The nurse should assess for what manifestations during the first 24 hours after ingestion:
a. right upper quadrant abdominal pain. c. jaundice and hypoglycemia.
b. nausea, vomiting, and malaise. d. constipation.
ANS: B
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A Incorrect: This occurs after 24 hours--between 24-48 hours.
B Correct: Diarrhea, anorexia, nausea, vomiting, diaphoresis, pallor, and malaise are common manifestations that occur during the first 24 hours after ingestion.
C Incorrect: These may occur as late as 48 hours.
D Incorrect: This is not a manifestation of hepatotoxicity secondary to acetaminophen overdose.
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