The nurse is administering nitroprusside sodium in the treatment of a hypertensive crisis. The nurse will assess the client for which signs and symptoms of thiocyanate poisoning?
Standard Text: Select all that apply.
1. Hypotension
2. Blurred vision
3. Flushing of the skin
4. Metabolic acidosis
5. Dizziness
Correct Answer: 1,2,4
Rationale 1: Hypotension is a symptom of thiocyanate toxicity that may manifest with extended therapy.
Rationale 2: Blurred vision is a symptom of thiocyanate toxicity that may manifest with extended therapy.
Rationale 3: Flushing of the skin is an expected side effect of therapy and does not indicate thiocyanate toxicity.
Rationale 4: Metabolic acidosis is a symptom of thiocyanate toxicity that may manifest with extended therapy.
Rationale 5: Dizziness is an expected side effect of therapy and does not indicate thiocyanate toxicity.
Global Rationale: Hypotension, blurred vision, and metabolic acidosis are symptoms of thiocyanate toxicity that may manifest with extended therapy. Flushing of the skin and dizziness are expected side effects of therapy and do not indicate thiocyanate toxicity.
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