An 11-year-old boy with a history of mild mental retardation has possibly ingested the leaves of a household plant. His mother states that she found him eating the leaves, then immediately called 911. You note that the plant has been overturned and is missing a considerable number of leaves. Assessment reveals the boy to be lethargic and confused and complaining of abdominal pain, accompanied by nausea and vomiting. His airway is patent and his respirations are adequate. Which assessment finding would be most suggestive that the plant leaves have been absorbed into the body?

Question

Quizplus · Accepted Answer

Confusion and lethargy are suggestive of absorption of the plant leaves into the body, indicating possible toxicity. The other symptoms, such as nausea, vomiting, and abdominal pain, may also be indicative of toxicity, but they are not as specific. The missing leaves from the plant are also a clue that ingestion has occurred, but do not necessarily confirm absorption of the toxic substances.

An 11-Year-Old Boy with a History of Mild Mental Retardation