A 42-year-old male client, who started experiencing mild flu-like symptoms 2 days ago, including an oral temperature of 101.2 °F (38.4 °C), came to the emergency department today due to increasing shortness of breath, cough, and chest pain.
The client has no significant medical or surgical history.
He occasionally drinks alcohol but denies smoking or drug use.
He mentioned that he works in a government building and opened a package that was full of white powder.
He may have inhaled some of the powder and coughed a few times but did not have any problems until a couple of days later.
What actions should be taken?
Apply oxygen via a nasal cannula.
Place the client on a cardiorespiratory monitor.
Infuse IV fluid boluses.
Administer antiviral medication.
The Correct Answer is B
Answer and explanation The correct answer is B. Choice A rationale
Applying oxygen via a nasal cannula might help alleviate the client’s shortness of breath, but it does not address the potential cause of the client’s symptoms.
Choice B rationale
Given the client’s symptoms and potential exposure to an unknown substance, it is crucial to monitor his vital signs and cardiorespiratory status. This will help healthcare providers detect any changes in the client’s condition and respond appropriately.
Choice C rationale
Infusing IV fluid boluses might be necessary if the client is dehydrated, but there is no indication of this in the scenario.
Choice D rationale
Administering antiviral medication would be appropriate if the client were confirmed to have a viral infection. However, the client’s symptoms and history suggest a potential exposure to an unknown substance, which requires further evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
The number of requests for pregnancy testing being higher than last year does not necessarily indicate that the Healthy People 2030 objectives are being addressed. It could suggest an increase in sexual activity among the students, which could lead to an increase in sexually transmitted infections or unplanned pregnancies if not managed properly.
Choice B rationale
A decrease in the number of sick days could suggest an improvement in the overall health of the students. However, it does not provide a comprehensive picture of the health status of the students. Other factors, such as the number of students participating in physical education or the overall health of the student population, should also be considered.
Choice C rationale
An increase in the number of students participating in physical education could suggest an improvement in the physical health of the students. However, it does not provide a comprehensive picture of the health status of the students. Other factors, such as the number of sick days or the overall health of the student population, should also be considered.
Choice D rationale
An improvement in the overall health of the student population is the best indication that the Healthy People 2030 objectives are being addressed. The Healthy People 2030 objectives aim to improve health and well-being nationwide. Therefore, an improvement in the overall health of the student population suggests that these objectives are being met.
Correct Answer is B
Explanation
Answer and explanation
The correct answer is Choice B.
Choice A rationale
Allowing the family to visit whenever they wish can provide emotional support to the client, which is important in palliative care. However, it may not directly address the physical symptoms associated with multiple sclerosis (MS), such as pain and anxiety.
Choice B rationale
Administering medication as needed for pain and anxiety should be prioritized in the care plan for a client with MS in a palliative care unit. MS can cause varying degrees of pain and anxiety, and managing these symptoms can significantly improve the client’s quality of life during the advanced stages of the disease.
Choice C rationale
Maintaining a quiet environment with low lighting can help create a calm and comfortable atmosphere for the client. However, it does not directly address the physical symptoms of MS34.
Choice D rationale
Allowing the client to participate in the care provided can promote a sense of control and autonomy. However, it may not directly address the physical symptoms associated with MS34.
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