A migrant farmworker presents to the clinic reporting an acute onset of dizziness, intense thirst, vomiting, fatigue, and headache with difficulty concentrating.
Which of the following conditions would cause such symptoms?
Bacterial gastroenteritis.
Viral illness.
Pesticide poisoning.
Appendicitis.
The Correct Answer is C
Choice A rationale
Bacterial gastroenteritis typically presents with abdominal pain, diarrhea, and vomiting. While dehydration can lead to symptoms such as dizziness and fatigue, it does not usually cause acute difficulty concentrating or intense thirst without prolonged illness. This condition is more localized to the gastrointestinal system rather than systemic toxicity as seen in pesticide poisoning.
Choice B rationale
Viral illness can lead to nonspecific symptoms like fatigue, headache, and dizziness, but it usually follows a pattern of fever or respiratory symptoms. The acute onset and combination of symptoms such as intense thirst and difficulty concentrating are not characteristic of viral infections. These symptoms suggest a toxic exposure rather than an infectious etiology.
Choice C rationale
Pesticide poisoning often manifests acutely with systemic symptoms such as dizziness, fatigue, vomiting, intense thirst, headache, and difficulty concentrating. These occur due to cholinergic overstimulation or chemical toxicity. Pesticides can affect multiple organ systems and cause central nervous system effects, which align with the symptoms described in the patient.
Choice D rationale
Appendicitis is characterized by localized abdominal pain, nausea, vomiting, and fever. It does not cause systemic effects such as intense thirst, dizziness, headache, or difficulty concentrating. The symptoms described are more indicative of systemic toxicity rather than localized inflammation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
High energy levels are a hallmark symptom of cocaine intoxication. Cocaine stimulates the central nervous system, leading to heightened alertness, restlessness, and increased activity levels temporarily.
Choice B rationale
Drowsiness contradicts the stimulant effects of cocaine, which usually leads to wakefulness and reduced need for sleep during intoxication episodes.
Choice C rationale
Cocaine increases heart rate and blood pressure due to its stimulant properties, making a low heart rate inconsistent with the physiological effects of cocaine intoxication.
Choice D rationale
Cocaine use suppresses appetite through its effects on dopamine and serotonin systems. Increased appetite is more typical during withdrawal phases, not during intoxication.
Correct Answer is B
Explanation
Choice A rationale
Primary prevention involves actions like immunizations and education to prevent diseases or issues before they occur. Drug screening is not aimed at preventing drug use but detecting it early.
Choice B rationale
Secondary prevention focuses on early detection and intervention to reduce the progression of disease or complications. Drug screening detects drug use early to prevent worsening outcomes, making this action a secondary prevention method.
Choice C rationale
Combining primary and secondary prevention involves overlapping strategies to prevent diseases and detect them early. Drug screening alone does not include primary preventive measures, so it cannot be classified as both.
Choice D rationale
Tertiary prevention is aimed at minimizing the impact of ongoing disease or injury, focusing on rehabilitation or management. Drug screening does not involve rehabilitating or managing drug-related complications.
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