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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Harm reduction models aim to support individuals with substance use issues, contrasting this statement's dismissive approach that denies intervention possibilities and health promotion.
Choice B rationale
Harm reduction acknowledges addiction as a multifactorial health issue, requiring evidence-based interventions targeting biological, psychological, and social determinants of substance use.
Choice C rationale
Public health frameworks highlight substance use as a significant issue due to its widespread health, social, and economic implications, refuting claims of its insignificance.
Choice D rationale
Effective addiction treatment incorporates comprehensive, personalized strategies proven to yield success, countering the assertion of ineffectiveness for most individuals.
Correct Answer is A
Explanation
Choice A rationale
Methamphetamine use is associated with risky behaviors like needle-sharing, which increases transmission of infectious diseases such as hepatitis C and HIV. Such behaviors exacerbate public health challenges.
Choice B rationale
Methamphetamine use exacerbates mental health issues such as paranoia and depression, rather than improving mental health. Its stimulant effect often leads to neurological and psychological harm.
Choice C rationale
Methamphetamine use is linked to aggressive behaviors, heightened irritability, and impulsiveness, increasing risk of violence instead of decreasing it. These effects pose significant public safety concerns.
Choice D rationale
Methamphetamine use often leads to social isolation due to erratic behavior, distrust, and stigma. It impairs relationships instead of improving social interactions.
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