A nurse is caring for a client who has an acute respiratory failure (ARF). The nurse should monitor the client for which of the following manifestations of this condition? (Select all that apply.)

Nausea

Severe dyspnea

Headache

Decreased level of consciousness

Hypotension

Answer and Explanation

Correct Answer : B,C,D,E

Choice a) is incorrect because nausea is not a common manifestation of ARF. Nausea is a sensation of discomfort in the stomach that may or may not lead to vomiting. Nausea can be caused by many other conditions, such as gastroenteritis, motion sickness, or pregnancy.

Choice b) is correct because severe dyspnea is a common manifestation of ARF. Dyspnea is a subjective feeling of difficulty or discomfort in breathing. Severe dyspnea indicates that the client is not getting enough oxygen and may have low blood oxygen levels (hypoxemia) or high carbon dioxide levels (hypercapnia).

Choice c) is correct because headache is a common manifestation of ARF. Headache is a pain or discomfort in the head, scalp, or neck. Headache can be caused by high carbon dioxide levels (hypercapnia), which can affect the blood vessels and nerves in the brain.

Choice d) is correct because a decreased level of consciousness is a common manifestation of ARF. Level of consciousness is a measure of how alert and oriented a person is. A decreased level of consciousness can be caused by low blood oxygen levels (hypoxemia), high carbon dioxide levels (hypercapnia), or acid-base imbalance, which can aﬀect brain function and mental status.

Choice e) is correct because hypotension is a common manifestation of ARF. Hypotension is a condition in which the blood pressure is lower than normal. Hypotension can be caused by low blood oxygen levels (hypoxemia), which can impair heart function and reduce cardiac output.

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Correct Answer is ["A","C","D","F"]

Explanation

Choice A: A cervical spinal cord injury can impair the function of cranial nerves, leading to a weakened gag reflex and an increased risk of aspiration.

Choice B:Patients with spinal cord injuries are more likely to experience poikilothermia (difficulty regulating body temperature), but this often results in hypothermia, not hyperthermia, due to the loss of autonomic temperature control.

Choice C:Spinal shock, which often follows a spinal cord injury, can cause decreased or absent bowel sounds due to a temporary loss of autonomic function and decreased peristalsis.

Choice D:Depending on the level and severity of the injury, paralysis can occur, affecting motor function below the injury site. A cervical spinal cord injury may lead to quadriplegia (tetraplegia).

Choice E:Clients with spinal cord injuries are more likely to experience urinary retention, rather than polyuria, due to loss of bladder control and autonomic dysfunction. A foley catheter may be needed initially, followed by intermittent catheterization.

Choice F:Neurogenic shock, a potential complication of cervical spinal cord injuries, can cause hypotension due to the loss of sympathetic nervous system control over blood vessel tone, leading to vasodilation and bradycardia.

A. Copies of insurance cards B. Whistle C. Antibiotics D. Household bleach E. Pencil and paper

Correct Answer is ["A","B","D","E"]

Explanation

Choice a) is correct because copies of insurance cards can help clients access medical care and claim compensation in case of a disaster. Insurance cards can also serve as a form of identification if other documents are lost or damaged.

Choice b) is correct because a whistle can help clients signal for help or locate each other in case of an emergency. A whistle can also deter potential atackers or wild animals.

Choice c) is incorrect because antibiotics are not recommended to be included in a disaster readiness supply kit or “go bag”. Antibiotics are prescription drugs that should only be used under the guidance of a health care provider. Using antibiotics without proper indication, dosage, or duration can cause adverse eﬀects, such as allergic reactions, resistance, or superinfection.

Choice d) is correct because household bleach can be used to disinfect water, surfaces, or wounds in case of a disaster. Household bleach can also be used to create chlorine gas, which can be used as a weapon or a deterrent.

Choice e) is correct because pencil and paper can be used to write down important information, such as contact numbers, medical history, or evacuation plans. Pencil and paper can also be used to communicate with others, especially if there is no access to phone or internet services.

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A nurse is caring for a client who has an acute respiratory failure (ARF). The nurse should monitor the client for which of the following manifestations of this condition? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply.)

Correct Answer is ["A","C","D","F"]

Explanation

A community health nurse is providing a community education program about disaster preparedness. Which of the following should the nurse recommend that clients include in their family’s disaster readiness supply kit or “go bag”? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

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