A nurse in a clinic is collecting data from a client who reports nausea, headache, weakness, and vertigo after turning on his furnace. The client's oral mucous membranes are cherry red. Then nurse should associate the client's manifestations with which of the following conditions?
Carbon monoxide poisoning
Stress
Septic shock
Heat stroke
The Correct Answer is A
A. Carbon monoxide poisoning: CO poisoning presents with nonspecific symptoms like nausea, headache, dizziness, and cherry-red mucous membranes. Furnaces can emit CO if not ventilated properly.
B. Stress: Stress can cause headaches and fatigue, but not vertigo or cherry-red mucosa.
C. Septic shock: Septic shock typically presents with hypotension, fever or hypothermia, and poor perfusion-not cherry-red mucosa.
D. Heat stroke: Heat stroke causes high body temperature, altered mental status, and dry skin-not related to furnace use or cherry-red mucosa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "The grip should be level with the client's waist.": The cane’s handgrip should be at wrist level when the client’s arm is relaxed.
B. "The client should hold the cane on the weak side of his body.": The cane should be held on the stronger side to support the weaker leg.
C. "When the client moves, he should move the cane forward first.": This allows the cane to support the weight when the weaker leg is advanced.
D. "The client should first move the strong leg, then the weak one.": The weaker leg should move first with the cane, followed by the stronger leg.
Correct Answer is D
Explanation
A. “They'll protect your legs and heels from skin breakdown.": This is a benefit of padding or heel protectors, not the main purpose of antiembolism stockings.
B. “They'll help keep you warm immediately after your surgery.": While they may provide warmth, their primary purpose is to prevent venous stasis.
C. "They'll make it easier for you to do leg exercises after your surgery.": Stockings are not designed to assist movement but rather to promote venous return.
D. "They'll improve your circulation to keep blood from pooling in your legs.": Antiembolism (TED) stockings help prevent deep vein thrombosis (DVT) by promoting venous return and reducing stasis.
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