A client was found in a parked car with the motor running. The paramedic brought the client to the emergency department with complaints of a headache, nausea, and dizziness and the client is unable to recall their name or address. On assessment, the nurse notes the buccal mucosa is a cherry-red color. Which intervention should the nurse implement first?

Prepare the client for transfer to a facility with a hyperbaric chamber.

Apply oxygen via a nonrebreather mask at 15 liters.

Check the client's oxygenation level with a pulse oximeter.

Administer intravenous (IV) fluids.

Answer and Explanation

The Correct Answer is B

A. Prepare the client for transfer to a facility with a hyperbaric chamber: This may be required for severe cases of carbon monoxide poisoning, but immediate intervention with high-flow oxygen is essential first.
B. Apply oxygen via a nonrebreather mask at 15 liters: Carbon monoxide poisoning requires immediate high-flow oxygen to help displace carbon monoxide from hemoglobin. This is the first step in treatment to prevent further tissue hypoxia and complications.
C. Check the client's oxygenation level with a pulse oximeter: While important, it does not address the immediate need for high-flow oxygen to treat carbon monoxide poisoning.
D. Administer intravenous (IV) fluids: IV fluids may be necessary for supportive care but are not the priority for treating carbon monoxide poisoning. The immediate need is to provide high-flow oxygen.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Pinch the testicles to feel for abnormalities: This is incorrect. The testicles should be gently palpated, not pinched, to detect abnormalities.
B. Expect swelling of the testicles after examination: This is incorrect. There should be no swelling after a testicular self-examination.
C. Perform testicular self-examination every year: This is incorrect. Self-examination should be performed monthly, not yearly, to detect any changes promptly.
D. Examine the testicles after a bath or shower: This is correct. The warmth and relaxation of the scrotum after a bath or shower make it easier to feel for abnormalities.

A. "I should include foods high in protein and vitamin C in my diet." B. "My sexual partner should be tested for sexually transmitted infections (STIs)." C. "I will require surgery to drain and irrigate my pelvis." D. "I should receive the human papillomavirus (HPV) vaccine."

Correct Answer is B

Explanation

A. "I should include foods high in protein and vitamin C in my diet": This is incorrect. While a healthy diet can support overall health, it is not a specific preventive measure for PID recurrence.
B. "My sexual partner should be tested for sexually transmitted infections (STIs)": This is correct. Preventing STI transmission is crucial in reducing the risk of PID recurrence. Both partners should be tested and treated if necessary to prevent reinfection.
C. "I will require surgery to drain and irrigate my pelvis": This is incorrect. Surgery is not typically required to prevent PID recurrence. Treatment and prevention focus on antibiotics and STI management.
D. "I should receive the human papillomavirus (HPV) vaccine": This is incorrect. While the HPV vaccine can prevent certain sexually transmitted infections, it does not directly address the prevention of PID, which is more related to preventing and treating STIs.

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a group of male adolescents about testicular self-examination. Which of the following information should the nurse include?

Correct Answer is D

Explanation

Following a history of vaginal discharge and lower abdominal pain, a client is diagnosed with pelvic inflammatory disease (PID). When providing client education, the nurse identifies an understanding of the teaching when the client makes which statement in regard to preventing a reoccurrence?

Correct Answer is B

Explanation

A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?

A nurse is planning care for a client who is 2 hours postoperative following a transurethral resection of the prostate. The client is receiving continuous bladder irrigation. Which of the following interventions should the nurse include?

A nurse is assessing a client who is being admitted from the post-anesthesia care unit (PACU) following an abdominal hysterectomy. Which of the following assessments is the nurse's priority?

A nurse in an emergency department is caring for a client who reports being sexually assaulted just prior to admission. Which of the following actions should the nurse take?

A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is not recommended due to which of the following findings in the client's medical history?

The nurse is teaching a class on bioterrorism. Which statement by a student indicates understanding of the primary rationale for designating an area for decontamination?

A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 110/60 mm Hg, a pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?