A nurse in the emergency department is caring for a client.
Drag 1 condition and 1 client finding to fill in each blank in the following sentence.
The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}
The client reports symptoms of vomiting and diarrhea for the past 12 hours. These symptoms are classic indicators of fluid loss from the gastrointestinal tract. Vomiting and diarrhea lead to significant fluid depletion, resulting in a fluid volume deficit. This deficit can lead to dehydration, electrolyte imbalances, and potentially hypotension (low blood pressure), which are consistent with the client's clinical presentation of tachycardia (increased heart rate) and hypotension (blood pressure 102/58 mmHg). The plan for IV fluid replacement upon admission reflects the need to address and correct this fluid deficit.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Wearing a mask is a measure of primary prevention rather than secondary prevention. It aims to prevent the transmission of the virus to others if the child is infected. However, in the context of secondary prevention, the focus is on early detection and management of the illness in the child to prevent complications.
B. This is a crucial instruction for tertiary prevention. Difficulty breathing can indicate severe illness, potentially requiring urgent medical intervention. Prompt recognition and treatment can prevent progression to respiratory failure, a serious complication of COVID-19.
C. Immunization is a form of primary prevention aimed at preventing infection before it occurs. As of now, COVID-19 vaccines are recommended for eligible school-age children to prevent infection and reduce transmission but do not directly address the management of suspected infection in a symptomatic child.
D. This is a critical step in secondary prevention. Testing for SARS-CoV-2 infection is necessary to confirm the diagnosis and initiate appropriate management and isolation measures if the child is positive. Early testing helps identify cases early and prevent further transmission in the school and community.
Correct Answer is D
Explanation
A. This scenario describes a near-miss or a close call, where an error occurred but was intercepted before reaching the patient. While it is a significant incident that requires investigation and corrective action, it does not meet the criteria for a sentinel event because there was no actual harm to the patient.
B. This option could be related to the natural course of the patient's illness or underlying condition.
C. This incident involves a medication error where a potentially harmful medication was prescribed but not administered due to cancellation. Since the medication was not administered and no harm occurred to the patient, this does not meet the criteria for a sentinel event. It is a medication error that warrants investigation and review to prevent future occurrences.
D. This is because patient falls are specifically mentioned as one of the most commonly reported sentinel events, which can result in serious injury or death.
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