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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Answer and explanation The correct answer is D. Choice A rationale
Giving a complete bed bath to further assess the client may not be the most appropriate intervention in this case. The client is semi-conscious and cries out in pain when turned or moved. A complete bed bath could potentially cause unnecessary discomfort and distress.
Choice B rationale
Removing the fentanyl patch as directed by prescription may not be the best course of action. Fentanyl is a powerful opioid used to manage severe pain. The client’s parents report that their child cries out in pain when turned or moved, suggesting that the client is experiencing significant pain. Removing the fentanyl patch could potentially exacerbate the client’s pain.
Choice C rationale
Calling for ambulance transportation to the hospital immediately may not be necessary at this time. The client’s vital signs are stable, and there is no indication of an immediate medical emergency based on the information provided.
Choice D rationale
Discussing end-of-life decisions with the client’s parents is the most appropriate intervention. The client is semi-conscious, sleeps most of the time, and is in significant pain. These symptoms suggest that the client’s condition is deteriorating. It is important to have conversations about end-of-life care preferences and decisions to ensure that the client’s wishes are respected and that the parents are prepared.
Correct Answer is C
Explanation
Answer and explanation The correct answer is C. Choice A rationale
Surveying parents 3 weeks after the pamphlets are sent home would provide information about their understanding of the condition, but it would not directly measure the effectiveness of the program in eradicating pediculosis capitis in the school.
Choice B rationale
Evaluating the teacher’s ability to identify pediculosis capitis 2 months after the initiation of the program would provide information about the teacher’s knowledge and awareness, but it would not directly measure the effectiveness of the program in eradicating the condition in the school.
Choice C rationale
Measuring the prevalence of pediculosis capitis among the children after four months would directly assess the effectiveness of the program. A decrease in the prevalence of the condition would indicate that the program was effective.
Choice D rationale
Conducting an initial examination of each child in the school to obtain baseline data would be a useful step in the beginning of the program to understand the extent of the problem, but it would not evaluate the effectiveness of the program.
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