A child with acetylsalicylic acid (aspirin) poisoning is being admitted to the emergency department. What early clinical manifestation does the nurse expect to assess on this child?
a. Hematemesis
b. Hematochezia
c. Hyperglycemia
d. Hyperventilation
ANS: D
An early clinical manifestation of acetylsalicylic acid (aspirin) poisoning is hyperventilation. Hematemesis, hematochezia, and hyperglycemia are clinical manifestations of iron poisoning.
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A nurse recognizes that a patient diagnosed with COPD has a rising level of partial pressure of carbon dioxide (CO2) in arterial blood (PaCO2). How should the nurse interpret this assessment?
a. More arterial O2 is available than is needed. b. The ventilation-perfusion ratio is becoming balanced. c. Respiratory acidosis has begun. d. The anticholinergic medications are effec-tive.
Family members of a dying patient are in the room with the patient. As the patient nears death, what should the nurse tell the family?
A) "Please leave the room now. It is time to let go." B) "Only one family member at a time can stay in the room." C) "Please stay with your loved one and talk to him." D) "I will have to get an order for you to stay now."
A patient is being treated for heart failure. Which of the following is most indicative of improved health status?
A) Decreased pedal edema B) Increased skin turgor C) Heart rate of 52 D) Improved sensorium
Health promotion and preventive health care are a major focus for the nursing professional. The challenge for nursing is to promote positive lifelong health behaviors in all segments of the population
What is the impact on the population if this challenge is not met? A) Declining longevity B) Increased disabilities C) Chronic disease D) Increased numbers of risk factors