CIP Ranchi 2023: Which of the following symptom is seen in a person who has inhaled poison?

CIP Ranchi 2023

Medical Surgical Nursing

Easy

Appeared in: CIP Ranchi 2023

Explanation

Inhaled poisons are rapidly absorbed from the lungs into the bloodstream, allowing them to quickly reach the brain.
Many toxic inhalants, like volatile solvents and carbon monoxide, either directly affect the central nervous system (CNS) or cause systemic hypoxia (lack of oxygen).
Both direct neurotoxicity and hypoxia manifest as neurological symptoms, with dizziness being one of the most common and earliest signs.
Sources confirm that volatile substances and carbon monoxide poisoning present with symptoms like headache and dizziness.

Option B: Fever (hyperthermia) is not a characteristic sign of acute poisoning from inhaled substances. It is more commonly associated with specific ingested toxins (like salicylates) or a systemic inflammatory response, which is not the immediate effect of most inhaled poisons.
Option C: Joint pain is related to the musculoskeletal system and is not a symptom of acute toxic inhalation. It is typically associated with arthritis, injury, or autoimmune conditions.
Option D: Acute poisoning almost universally causes gastrointestinal distress, leading to a loss of appetite (anorexia), nausea, and vomiting. An increased appetite is the opposite of the expected clinical presentation.

Clinical Relevance

Nursing practice connection: Prioritize focused assessment, early escalation, and real-time monitoring when managing Signs and symptoms of inhaled poisoning in acute care settings.
Recognizing dizziness as a potential sign of inhaled poisoning is a critical nursing assessment skill, as it prompts immediate action to ensure patient and rescuer safety by removing them from the hazardous environment.
The nurse's priority in suspected inhaled poisoning follows the ABCs: ensuring a patent Airway, assessing Breathing, and monitoring Circulation, followed by administering high-flow oxygen.
What if? If the patient was found unconscious instead of just dizzy, the immediate priority would shift from simple removal to activating emergency services, ensuring rescuer safety (e.g., not entering a confined space with toxic gas), and initiating Basic Life Support (BLS) if safe to do so.

How to Approach the Question

First, identify the key concept in the question: the symptoms of 'inhaled poison'.
Consider the pathophysiology: Inhalation is a very rapid route for a substance to enter the bloodstream and affect the body's systems, especially the brain (CNS) and lungs.
Evaluate each option based on this rapid systemic effect. Dizziness is a classic neurological symptom caused by either direct brain toxicity or lack of oxygen (hypoxia).
Analyze the other options. Fever, joint pain, and increased appetite are not typical rapid-onset symptoms associated with toxic inhalation. In fact, loss of appetite is more likely.
Select the option that logically follows from the pathophysiology of inhaled toxins affecting the CNS.

Concept Tested & Keywords

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E6 Medicine Davidson Principles Practice 24e p. 164-166

E6 Nelson Textbook of Pediatrics(2024) — Volume 1 p. 1214-1216