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. A negative contraction stress test (CST) indicates that there is no evidence of uteroplacental insufficiency, as the fetal heart rate does not show decelerations with contractions.
B. The number of contractions is not the defining criterion for a negative CST.
C. The absence of accelerations is not related to the interpretation of a CST. The test is focused on fetal heart rate decelerations in response to contractions.
D. Cervical incompetence is not assessed through a contraction stress test; it is typically evaluated through cervical length measurements and history.
Correct Answer is B
Explanation
A. Autism manifestations are not typically observed in neonates, as symptoms usually become more apparent in later developmental stages.
B. Autism spectrum disorder (ASD) is often identified in toddlers when developmental milestones, such as social interaction, communication, and play, show delays or atypical patterns.
C. Autism is not typically newly identified in middle-aged individuals. It is generally recognized in early childhood, though some individuals may be diagnosed later in life.
D. Autism is not associated with geriatric clients, as it is a developmental disorder identified in early childhood and does not present in the geriatric population.
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