A nurse is teaching a client about carbon monoxide poisoning. Which of the following statements should the nurse identify as an indication that the client needs further instruction?
A high concentration of carbon monoxide can cause death.
I should 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 a metallic odor.
The Correct Answer is D
Choice A reason: A High Concentration of Carbon Monoxide Can Cause Death
This statement is correct. Carbon monoxide (CO) is a colorless, odorless, and tasteless gas that can be deadly at high concentrations. It binds to hemoglobin in the blood more effectively than oxygen, leading to hypoxia (lack of oxygen) in body tissues. High levels of CO can cause severe symptoms such as confusion, loss of consciousness, and death if not treated promptly.
Choice B reason: I Should Purchase a Carbon Monoxide Detector for My Home
This statement is also correct. Installing a carbon monoxide detector in the home is a crucial safety measure. These detectors can alert individuals to the presence of CO, allowing them to take action before the gas reaches dangerous levels. It is recommended to place detectors near sleeping areas and to test them regularly to ensure they are functioning properly.
Choice C reason: Breathing in Carbon Monoxide Can Cause Headaches and Nausea
This statement is accurate. Early symptoms of carbon monoxide poisoning include headaches, dizziness, nausea, and fatigue. These symptoms occur because CO interferes with the body’s ability to transport and use oxygen, leading to hypoxia. If exposure continues, symptoms can worsen and lead to more severe health issues.
Choice D reason: I Can Detect the Presence of Carbon Monoxide by a Metallic Odor
This statement indicates a need for further instruction. Carbon monoxide is odorless, which means it cannot be detected by smell. This is why CO is often referred to as a “silent killer.” Relying on the ability to smell CO is dangerous and ineffective. The only reliable way to detect CO is through the use of a carbon monoxide detector.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Choice A reason:
Clean clothing is necessary for maintaining hygiene and comfort in disaster situations. Limited access to laundry facilities makes having extra clothing essential for preventing infections and staying dry in extreme weather.
Choice B reason:
Personal identification is crucial during emergencies to access aid, medical services, and shelters. Important documents such as passports or insurance cards help verify identity and facilitate assistance.
Choice C reason:
Three quarts of water per person is not the recommended amount. The standard guideline advises one gallon of water per person per day to meet hydration and sanitation needs, ensuring sufficient supply in prolonged emergencies.
Choice D reason:
Matches are useful for starting fires needed for cooking, warmth, and signaling for help. Waterproof matches or lighters should be included to ensure functionality in wet conditions.
Choice E reason:
Prescription medications are vital for those with chronic health conditions. Having a sufficient supply ensures continuity of treatment, especially when pharmacies may be inaccessible during disasters.
Correct Answer is A
Explanation
Choice A reason: Hemorrhage
Hemorrhage is a significant and immediate postoperative complication following a transurethral resection of the prostate (TURP). This procedure involves removing part of the prostate gland, which can lead to bleeding. Monitoring for signs of hemorrhage, such as a significant drop in blood pressure, increased heart rate, and visible blood in the urine, is crucial. Early detection and intervention are essential to manage bleeding and prevent severe complications. Hemorrhage can lead to hypovolemic shock if not addressed promptly, making it the priority complication to monitor for.
Choice B reason: Infection
Infection is a common postoperative complication, but it typically develops a few days after surgery rather than immediately. Signs of infection include fever, chills, and increased white blood cell count. While it is important to monitor for infection, it is not the immediate priority compared to hemorrhage. Preventive measures, such as maintaining sterile techniques and administering prophylactic antibiotics, can help reduce the risk of infection.
Choice C reason: Urinary retention
Urinary retention can occur after TURP due to swelling or blood clots obstructing the urethra. This condition can cause discomfort and increase the risk of bladder damage. Monitoring for urinary retention involves assessing the client’s ability to void and checking for bladder distention. While it is an important complication to monitor, it is not as immediately life-threatening as hemorrhage.
Choice D reason: Pain
Pain is a common postoperative symptom and should be managed effectively to ensure the client’s comfort and recovery. However, pain management is typically addressed through prescribed analgesics and is not considered a life-threatening complication. Monitoring for pain and providing appropriate pain relief are essential aspects of postoperative care, but they do not take precedence over monitoring for hemorrhage.
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