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."

Answer and Explanation

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.

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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.

A. Use safety pins to keep the pad in place. B. Set the pad's temperature to 42.2° C (108° F). C. Stop the treatment if the client's skin becomes red. D. Leave the pad in place for at least 40 min.

Correct Answer is C

Explanation

A. Use safety pins to keep the pad in place: Safety pins can puncture the pad, leading to leaks or burns.
B. Set the pad's temperature to 42.2° C (108° F): That is too hot. Safe temperatures for heat application are usually around 40–41°C (104–105.8°F).
C. Stop the treatment if the client's skin becomes red: Redness may indicate burning or tissue damage; the application must be discontinued immediately.
D. Leave the pad in place for at least 40 min: Heat therapy is usually applied for 20–30 minutes to avoid rebound vasoconstriction and tissue injury.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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