A parent calls the hospital hot line and is connected to the triage nurse. The caller proclaims: 'I found my child with odd stuff coming from the mouth and an unmarked bottle nearby.' Which of these comments would be the best tool for the nurse to determine if the child has swallowed a corrosive substance?

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Question 1 of 5

A parent calls the hospital hot line and is connected to the triage nurse. The caller proclaims: 'I found my child with odd stuff coming from the mouth and an unmarked bottle nearby.' Which of these comments would be the best tool for the nurse to determine if the child has swallowed a corrosive substance?

Correct Answer: A

Rationale: Ask the child if the mouth is burning or throat pain is present' is the best tool. Burning indicates a corrosive substance, per toxicology triage, guiding urgency. Pulse/breathing , color , and GI symptoms are secondary. A targets the key symptom.

Question 2 of 5

What must the nurse emphasize when teaching a client with depression about a new prescription for nortriptyline (Pamelor)?

Correct Answer: B

Rationale: Alcohol potentiates CNS depression with tricyclics, increasing toxicity risk.

Question 3 of 5

The nurse practicing in a long term care facility recognizes that elderly clients are at greater risk for drug toxicity than younger adults because of which of the following physiological changes of advancing age?

Correct Answer: B

Rationale: Reduced water and increased fat alter drug distribution, prolonging effects and increasing toxicity risk.

Question 4 of 5

A client with bi-polar disorder is taking lithium (Lithane). What should the nurse emphasize when teaching about this medication?

Correct Answer: B

Rationale: Sodium depletion increases lithium toxicity; consistent salt intake is critical.

Question 5 of 5

The nurse is teaching a child and the family about the medication phenytoin (Dilantin) prescribed for seizure control. Which of the following side effects is most likely to occur?

Correct Answer: C

Rationale: Gingival hyperplasia is a common, long-term side effect of phenytoin, especially in children.

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