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A nurse is caring for a client who reports that he has a headache and vertigo after turning on his furnace for the first time this season.

The nurse suspect which of the following?

A.

Carbon monoxide poisoning

B.

Meniere’s disease 

C.

Migraine 

D.

Benign paroxysmal positional vertigo.

Answer and Explanation

The Correct Answer is A

Carbon monoxide poisoning.

This is because the client reports having a headache and vertigo after turning on his furnace for the first time this season. These are common symptoms of carbon monoxide poisoning, which can occur when carbon monoxide, a colorless and odorless gas, builds up in the blood due to exposure to combustion fumes.

The furnace may have been a source of carbon monoxide if it was not well vented or maintained.

The other statements are wrong because:

Meniere’s disease is a disorder of the inner ear that causes vertigo, hearing loss, tinnitus and ear fullness. It is not related to carbon monoxide exposure or furnace use.

Migraine is a type of headache that causes throbbing pain, nausea, sensitivity to light and sound, and sometimes visual disturbances. It is not caused by carbon monoxide exposure or furnace use, but by genetic and environmental factors.

Benign paroxysmal positional vertigo (BPPV) is a condition that causes brief episodes of vertigo triggered by changes in head position. It is caused by tiny crystals in the inner ear that become dislodged and stimulate the balance sensors. It is not related to carbon monoxide exposure or furnace use.


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Related Questions

Correct Answer is A

Explanation

Monitor for signs of jaundice.A cephalohematoma is a collection of blood under the scalp that occurs due to trauma or pressure during delivery.It may increase the risk of jaundice in the newborn due to the breakdown of red blood cells and the release of bilirubin.Jaundice is a condition that causes yellowing of the skin and eyes due to high levels of bilirubin in the blood.Monitoring for signs of jaundice is important to prevent complications such as brain damage or kernicterus.

Apply pressure dressing over the area.This is wrong because applying pressure may increase the bleeding and cause more damage to the scalp and skull.A cephalohematoma does not require any treatment and usually resolves on its own within weeks or months.

Administer antibiotics as prescribed.This is wrong because antibiotics are not indicated for a cephalohematoma unless there is evidence of infection.Infection is a rare complication that may lead to osteomyelitis or meningitis.Antibiotics should be used only if prescribed by a doctor based on clinical signs and laboratory tests.

Elevate the head of the bed.This is wrong because elevating the head of the bed may not have any effect on a cephalohematoma.It may also cause discomfort or compromise the airway of the newborn.The position of the baby should be adjusted according to their comfort and safety.

Correct Answer is D

Explanation

Plagiocephaly.

This condition is also known as flat head syndrome and it occurs when an infant’s head shape becomes flattened due to external pressure.It can be caused by molding during delivery or by sleeping in the same position for a long time.

Choice A is wrong because caput succedaneum is a swelling of the scalp that results from pressure on the baby’s head during childbirth.It does not affect the shape of the head, but only causes temporary puffiness and bruising.

Choice B is wrong because cephalohematoma is bleeding under the scalp that occurs when blood vessels are damaged during delivery.It causes a firm lump on one side of the head that does not cross the suture lines.

Choice C is wrong because craniosynostosis is a condition where one or more of the sutures (joints) between the skull bones close prematurely, preventing normal growth of the head.It can cause an abnormal head shape, but it is not related to molding during delivery.

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