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. Clean drinking water is crucial for preventing waterborne diseases, which are transmitted through contaminated water sources (indirect transmission). It does not directly address diseases transmitted from person to person (direct transmission).
B. Proper sanitation practices, such as hand hygiene, proper disposal of waste, and sanitation of living environments, can prevent the spread of diseases transmitted through direct contact (e.g., fecal-oral route, respiratory droplets). Effective sanitation reduces the contamination of surfaces and objects that can harbor infectious agents, thereby interrupting direct transmission routes.
C. Pest control primarily targets diseases transmitted by vectors (such as mosquitoes, ticks, rodents) and is important for preventing diseases like malaria, dengue fever, and Lyme disease. While vector control is essential for preventing these diseases, it does not directly address diseases transmitted directly from person to person.
D. Isolation involves separating individuals who are infected or suspected of being infected from others to prevent the spread of disease. Isolation measures are crucial for controlling diseases that are highly contagious and spread through direct contact (e.g., airborne transmission, close personal contact). By isolating infected individuals, the nurse can effectively prevent direct transmission within the community.
Correct Answer is C
Explanation
A. An N-95 respirator is designed to filter out airborne particles and is used primarily for protection against airborne diseases such as tuberculosis or certain respiratory infections like COVID-19. It is not necessary for contact precautions unless there is also a risk of airborne transmission.
B. Goggles protect the eyes from splashes, sprays, or droplets of infectious material. They are not typically required for routine contact precautions unless there is a risk of splashes or sprays to the eyes.
C. Gloves are essential for contact precautions. They protect the nurse's hands from direct contact with potentially infectious material on the client's bed linen or any contaminated surfaces. Gloves should be worn when handling soiled linen and removed and discarded appropriately after use.
D. A face shield provides full-face protection against splashes, sprays, or splatters of infectious material. It is particularly useful when there is a risk of exposure to bodily fluids or during procedures that may generate splashes. While not always required for routine contact precautions, it may be used depending on the specific situation, such as when cleaning surfaces heavily contaminated with body fluids.
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