A migrant farmworker presents to the clinic reporting an acute onset of dizziness, intense thirst, vomiting, fatigue, and headache with difficulty concentrating.
Which of the following conditions would cause such symptoms?

Bacterial gastroenteritis.

Viral illness.

Pesticide poisoning.

Appendicitis.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Bacterial gastroenteritis typically presents with abdominal pain, diarrhea, and vomiting. While dehydration can lead to symptoms such as dizziness and fatigue, it does not usually cause acute difficulty concentrating or intense thirst without prolonged illness. This condition is more localized to the gastrointestinal system rather than systemic toxicity as seen in pesticide poisoning.

Choice B rationale

Viral illness can lead to nonspecific symptoms like fatigue, headache, and dizziness, but it usually follows a pattern of fever or respiratory symptoms. The acute onset and combination of symptoms such as intense thirst and difficulty concentrating are not characteristic of viral infections. These symptoms suggest a toxic exposure rather than an infectious etiology.

Choice C rationale

Pesticide poisoning often manifests acutely with systemic symptoms such as dizziness, fatigue, vomiting, intense thirst, headache, and difficulty concentrating. These occur due to cholinergic overstimulation or chemical toxicity. Pesticides can affect multiple organ systems and cause central nervous system effects, which align with the symptoms described in the patient.

Choice D rationale

Appendicitis is characterized by localized abdominal pain, nausea, vomiting, and fever. It does not cause systemic effects such as intense thirst, dizziness, headache, or difficulty concentrating. The symptoms described are more indicative of systemic toxicity rather than localized inflammation.

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Correct Answer is B

Explanation

Choice A rationale

Having family members present during communication can inhibit openness, as clients might fear judgment or repercussions from family disclosure about sensitive issues.

Choice B rationale

Direct and honest communication fosters trust and encourages abused clients to open up, improving engagement in care and emotional expression without feeling coerced.

Choice C rationale

Probing for factual accounts may seem invasive and can deter communication, increasing stress levels for withdrawn clients who are hesitant to share details.

Choice D rationale

Providing basic wound care addresses physical needs but fails to promote emotional communication, which is critical in cases of suspected abuse. .

A. You will need to assist the client by scheduling any referral or follow-up appointments around their work schedules. B. If a client who does not speak English comes in, you must obtain an interpreter right away. C. You will like working with Hispanic immigrants because they all have close-knit family structures. D. We try to take care of as many problems as possible in one visit, so when you interview the client, ask about additional concerns.

Correct Answer is C

Explanation

Choice A rationale

Vulnerable populations often face barriers such as work schedules interfering with healthcare access. Scheduling flexibility ensures they attend appointments, reducing missed care opportunities and improving outcomes.

Choice B rationale

Obtaining an interpreter ensures communication accuracy for non-English speakers, reducing errors in treatment plans and improving health literacy. This practice adheres to professional standards and client-centered care principles.

Choice C rationale

Assuming all Hispanic immigrants have close-knit families disregards cultural diversity within the group, promoting stereotyping rather than addressing individual client needs. Effective care requires understanding unique circumstances rather than generalized assumptions.

Choice D rationale

Addressing multiple concerns in one visit maximizes efficiency for clients with limited access to healthcare. Comprehensive care reduces follow-up needs, improving health outcomes for vulnerable populations.

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A migrant farmworker presents to the clinic reporting an acute onset of dizziness, intense thirst, vomiting, fatigue, and headache with difficulty concentrating.Which of the following conditions would cause such symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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A migrant farmworker presents to the clinic reporting an acute onset of dizziness, intense thirst, vomiting, fatigue, and headache with difficulty concentrating.
Which of the following conditions would cause such symptoms?