You have been called for an 11-year-old boy with a history of mild mental retardation who 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 bloodstream?

A) Nausea and vomiting
B) Confusion and lethargy
C) Abdominal pain
D) Nausea

Answer: B