A nurse is triaging clients in an urgent care clinic. Which of the following clients should the nurse have the provider care for immediately?
A toddler who has a laceration on his forehead and is crying
An adolescent female client who is belligerent and has slurred speech
A young adult with a painful sunburn of his face and arms
A middle adult male who is diaphoretic and reports epigastric pain
The Correct Answer is D
A. A laceration on the forehead of a toddler, while needing attention, is not as urgent as symptoms suggestive of a myocardial infarction.
B. Belligerence and slurred speech in an adolescent could indicate substance use or neurological issues, but it is less immediately life-threatening than symptoms of a myocardial infarction.
C. While painful sunburn can be uncomfortable, it is not as critical as symptoms indicative of a potential heart attack.
D. Diaphoresis and epigastric pain can be symptoms of a myocardial infarction (heart attack), which is a potentially life-threatening condition requiring immediate medical attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Increased progesterone during pregnancy can decrease the motility of smooth muscle, including that of the gastrointestinal tract, which contributes to the relaxation of the lower esophageal sphincter and the development of heartburn.
B. While the growing uterus can exert pressure on the stomach, heartburn at 12 weeks is more directly related to hormonal changes rather than displacement due to the uterus.
C. Increased estrogen is not primarily responsible for increased hydrochloric acid secretion; progesterone's role in smooth muscle relaxation is a more direct cause of heartburn.
D. Retained bile in the liver does not directly cause heartburn; rather, it is more associated with other digestive issues such as jaundice or cholestasis.
Correct Answer is A,B,C,D,E
Explanation
A. Trust vs. mistrust is the first stage of Erikson's psychosocial development, occurring from birth to approximately 18 months. During this stage, infants learn to trust their caregivers to meet their needs, leading to a sense of security.
B. Autonomy vs. shame and doubt is the second stage, occurring from approximately 18 months to 3 years. In this stage, toddlers learn to assert their independence by making choices and exercising self-control. Success leads to autonomy, while failure results in feelings of shame and doubt.
C. Initiative vs. guilt is the third stage, occurring from approximately 3 to 6 years. During this stage, children begin to take initiative in their activities, planning, and decision-making. Success in this stage leads to a sense of purpose, while failure can result in guilt over initiative taken.
D. Industry vs. inferiority is the fourth stage, occurring from approximately 6 to 12 years. In this stage, children develop a sense of industry by mastering tasks, succeeding in school, and receiving recognition. Failure to achieve this sense of industry can lead to feelings of inferiority.
E. Identity vs. role confusion is the fifth stage, occurring during adolescence. During this stage, individuals explore their personal identity, values, and beliefs. Success in this stage leads to a strong sense of identity, while failure results in role confusion and uncertainty about one’s place in society.
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