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 C
Explanation
Choice A rationale
Referring to a supervisor doesn’t fulfill the nurse’s legal obligation to clarify mandatory reporting requirements. It may also escalate parental frustration due to perceived evasion.
Choice B rationale
Delegating responsibility to a supervisor undermines the nurse’s accountability in adhering to legal reporting protocols. This response is insufficient to address parental concerns effectively.
Choice C rationale
Mandatory reporting laws require healthcare professionals to report suspected abuse, regardless of evidence certainty. Nurses must communicate this obligation clearly to justify their actions.
Choice D rationale
While involving the provider may aid communication, it doesn’t address the nurse’s personal accountability in fulfilling legal reporting duties or informing the parent. .
Correct Answer is D
Explanation
Choice A rationale
Disobedience or unawareness of heat danger is possible, but severe heat stroke is more likely related to systemic issues like work demands and limited supervision in migrant farming contexts.
Choice B rationale
Rare occurrences do not justify the event, as migrant farmworker families face chronic exposure risks due to challenging working conditions and lack of consistent safety measures.
Choice C rationale
Busy parents failing to monitor their child shows risk factors. However, migrant farm labor demands systemic vulnerability rather than isolated parental neglect or oversight.
Choice D rationale
Children working on farms reflects systemic economic vulnerability in migrant families. Heat stroke risk arises from the necessity for additional income, highlighting socioeconomic and occupational challenges.
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