A nurse is reinforcing teaching for a client about carbon monoxide poisoning. Which of the following statements should the nurse identify as an indication that the client needs further teaching?
"I plan to purchase a carbon monoxide detector for my home."
"Breathing in carbon monoxide can cause headaches and nausea."
"I can detect the presence of carbon monoxide by its metallic odor."
"A high concentration of carbon monoxide can cause death."
The Correct Answer is C
A. "I plan to purchase a carbon monoxide detector for my home.": A CO detector is essential since carbon monoxide is undetectable by human senses.
B. "Breathing in carbon monoxide can cause headaches and nausea.": These are common early symptoms of carbon monoxide poisoning.
C. "I can detect the presence of carbon monoxide by its metallic odor.": Carbon monoxide is colorless, tasteless, and odorless. This indicates the client needs further teaching.
D. "A high concentration of carbon monoxide can cause death.": Prolonged or high-level exposure can be fatal due to tissue hypoxia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. Elevate the bed to waist height: Raising the bed to waist level promotes proper body mechanics and reduces back strain for caregivers.
B. Position the client toward the edge of the bed on the side the client will face after turning: This makes repositioning easier and safer, allowing for better leverage and control.
C. Remove pillows prior to repositioning: Pillows may support body parts during turning and should be removed only if they obstruct repositioning, not as a general rule.
D. Stand with their feet wide apart: A wide base of support ensures better balance and stability when repositioning a client.
E. Face the direction of movement when repositioning the client: Facing the direction of movement maintains spinal alignment and prevents twisting injuries.
Correct Answer is B
Explanation
A. Supine: The client lies flat on their back with no tilt. This position does not help mobilize secretions from the lower lungs.
B. Trendelenburg: In this position, the head is lower than the feet, using gravity to help drain secretions from the lower lobes of the lungs.
C. Fowler's: The client is in a semi-sitting position (head elevated). This is used for breathing ease but not effective for postural drainage.
D. Sims': This is a semi-prone position used for enema administration or rectal examinations, not for mobilizing lung secretions.
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