In cases of acute salicylate poisoning, which sign or symptom is the nurse likely to observe?

In cases of acute salicylate poisoning, disorientation and an increased pulse rate are common signs and symptoms due to the physiological effects of salicylates on the body. Salicylates, such as aspirin, can lead to metabolic acidosis and respiratory alkalosis, causing confusion or altered mental status. The body attempts to compensate for the acid-base changes, often resulting in tachycardia as the heart rate increases to maintain adequate circulation and oxygen delivery despite potential hypoxia or inadequate perfusion.

The acute effects of salicylate poisoning can significantly affect the central nervous system and cardiovascular system, which is why changes in mental status like disorientation are particularly notable alongside an increased pulse. Understanding these symptoms allow healthcare professionals to effectively monitor and manage patients experiencing this type of poisoning.

The other options present symptoms that are not typically associated with acute salicylate poisoning. For instance, bradycardia and hypotension don’t align with the expected cardiovascular response. Severe headaches and vision changes can occur with various conditions but are not specifically indicative of salicylate toxicity. Excessive sweating and nausea can happen with many different toxic exposures or illnesses but are not hallmark signs of salicylate poisoning. Thus, the combination of dis