A nurse is caring for a male client, 58 years old, in the emergency department who is suspected of having heatstroke. The primary health care provider has ordered a series of diagnostic tests and interventions. Below are the exhibits to help the nurse assess the client.
The nurse is caring for a male client suspected of having heatstroke. Which findings are consistent with this diagnosis? (Select all that apply.)
Tachycardia
Hallucinations
Skin is hot, dry
Bradycardia
Correct Answer : A,C
Choice A rationale:
Tachycardia: Heatstroke often leads to an elevated heart rate due to the body's attempt to cool down and compensate for increased body temperature. The heart rate of 120 beats per minute noted in the client is consistent with tachycardia.
Choice B rationale:
Hallucinations: While confusion and disorientation are common symptoms of heatstroke, hallucinations are not typical findings associated with heatstroke. Therefore, this is not a consistent finding for this diagnosis.
Choice C rationale:
Skin is hot, dry: One of the hallmark signs of heatstroke is hot, dry skin, which results from the body's inability to regulate its temperature effectively. The client's skin being hot to the touch and dry aligns with this characteristic.
Choice D rationale:
Bradycardia: This is characterized by a slower than normal heart rate. Since the client presents with a heart rate of 120 beats per minute, which indicates tachycardia, bradycardia is not a finding consistent with heatstroke.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The Papanicolaou test (Pap smear) is the primary screening tool for cervical cancer. It detects precancerous or cancerous cells on the cervix and is recommended regularly for women.
Choice B rationale
A vaginal ultrasound is not used for initial cervical cancer screening. It may be used to evaluate abnormalities found by other means, but not as a primary screening test.
Choice C rationale
Serum prolactin level testing is not related to cervical cancer screening. Elevated prolactin levels are associated with other conditions like prolactinomas or hypothyroidism.
Choice D rationale
An endometrial biopsy is used to diagnose endometrial cancer or other uterine conditions, not for screening cervical cancer. It examines the tissue lining the uterus.
Correct Answer is B
Explanation
Choice A rationale
Increasing carbohydrate intake is not recommended for clients with Cushing's disease. Excessive carbohydrates can lead to weight gain and worsen hyperglycemia, common in Cushing's.
Choice B rationale
Restricting sodium intake is essential in Cushing's disease management. Excess sodium can exacerbate hypertension and fluid retention, common issues in Cushing's.
Choice C rationale
Limiting potassium-rich foods is not advised in Cushing's disease. Patients often need more potassium due to potassium loss caused by increased cortisol levels.
Choice D rationale
Decreasing protein intake is not recommended as it can lead to muscle wasting. Protein is necessary to maintain muscle mass and strength, especially with the catabolic effects of cortisol.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.