A 38-Year-Old Man Has Come into the Urgent Care Center

A 38-year-old man has come into the urgent care center with severe hip pain after falling from a ladder at work. He says he has taken several pain pills over the past few hours but cannot remember how many he has taken. He hands the nurse an empty bottle of acetaminophen (Tylenol) . The nurse is aware that the most serious toxic effect of acute acetaminophen overdose is which condition?

A) Tachycardia
B) Central nervous system depression
C) Hepatic necrosis
D) Nephropathy