A home health nurse is assessing a client who reports a headache and appears confused and drowsy. The client has a kerosene space heater in use. Which of the following actions should the nurse take first?

Take the client outdoors.

Wrap blankets around the client.

Loosen the client's clothing.

Open the client's windows.

Answer and Explanation

The Correct Answer is A

A. The priority action is to remove the client from the source of carbon monoxide poisoning, which in this case is the kerosene space heater. Taking the client outdoors will provide fresh air and reduce exposure to carbon monoxide.

B. Wrapping blankets around the client may further exacerbate the symptoms by trapping the carbon monoxide, worsening the client's condition.

C. While loosening the client's clothing may improve ventilation, it is not as effective as removing the client from the source of exposure.

D. Opening the client's windows may help improve ventilation, but it is not as effective as taking the client outdoors to reduce exposure to carbon monoxide.

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Correct Answer is B

Explanation

A. Beef liver - Beef liver is high in cholesterol and should be limited in the diet of someone with increased cholesterol levels.

B. Egg whites - Egg whites are low in cholesterol and can be a good source of protein for someone with increased cholesterol levels. It's the yolk of the egg that contains most of the cholesterol, so recommending egg whites is a good choice.

C. Steamed clams - Clams are low in cholesterol, but they are high in sodium, which may not be recommended for someone with increased cholesterol levels, depending on their overall dietary needs.

D. Broiled lobster - Lobster is high in cholesterol and should be limited in the diet of someone with increased cholesterol levels.

A. A series of four hepatitis vaccines is recommended to prevent viral hepatitis. B. Hepatitis B is transmitted by contaminated food. C. Chronic hepatitis can lead to renal cell cancer. D. Clients who have a history of viral hepatitis are unable to donate blood.

Correct Answer is D

Explanation

- Choice A: The recommended hepatitis vaccine series is not a series of four. The Advisory Committee on Immunization Practices (ACIP) recommends a three-dose series for hepatitis B vaccination.
- Choice B: Hepatitis B is not typically transmitted by contaminated food. It is primarily spread through direct contact with infectious blood, semen, or other body fluids.
- Choice C: While there is some evidence suggesting a link between chronic hepatitis C infection and an increased risk of renal cell carcinoma, the statement is not universally accepted as fact and more research is needed to establish a definitive connection.
- Choice D: Individuals with a history of hepatitis B or C are generally ineligible to donate blood due to the risk of transmission of these bloodborne viruses.

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A home health nurse is assessing a client who reports a headache and appears confused and drowsy. The client has a kerosene space heater in use. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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