The patient is a 10-year-old child admitted to the emergency ...

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The patient is a 10-year-old child admitted to the emergency department after huffing gasoline. The physician suspects mild brain damage. What signs will the nurse teach the parents to observe for after they take the child home?
 
  1. Slurred speech, memory loss, and personality changes
  2. Depression, cold extremities, and dyspnea
  3. Nausea, vomiting, and dizziness
  4. Irregular pulse, fainting, and anger

Question 2

The patient tells the nurse that her 12-year-old child asks to use her nail polish remover several times a day. When her friends come to visit, this seems to occur more frequently. What is the best response by the nurse?
 
  1. Your daughter may be 'huffing'; that is really scary.
  2. Your daughter may be 'huffing' or inhaling the remover.
  3. Your daughter may be 'huffing' or drinking small amounts of the remover.
  4. Your daughter may be 'huffing' or rubbing the remover on her skin.

[mk6555]

Answer to Question 1

Correct Answer: 1
Rationale: Children can die after a single episode of huffing a volatile chemical, or they may suffer brain damage. Brain damage may be manifested as slurred or slow speech, memory loss, or personality changes. Irregular pulse, fainting, and anger are not signs of brain damage. Depression, cold extremities, and dyspnea are not signs of brain damage. Nausea, vomiting, and dizziness are not signs of brain damage.

Answer to Question 2

Correct Answer: 2
Rationale: Inhaling volatile chemicals, known as huffing is most prevalent in the 10-to-12-year-old group. Virtually any organic compound can be huffed, including nail polish remover, spray paint, household glue, and gasoline. Huffing involves inhaling volatile chemicals, not rubbing them on the skin. Huffing involves inhaling volatile chemicals, not drinking them. Telling the mother that huffing is scary does not give her much information, and is an inappropriate response.

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Thank you!

[mk6555]

Always glad to help...