A nurse is reinforcing teaching for a client about carbon monoxide poisoning. Which of the following statements should the nurse identify as an indication that the client needs further teaching?

"I plan to purchase a carbon monoxide detector for my home."

"Breathing in carbon monoxide can cause headaches and nausea."

"I can detect the presence of carbon monoxide by its metallic odor."

"A high concentration of carbon monoxide can cause death."

Answer and Explanation

The Correct Answer is C

A. "I plan to purchase a carbon monoxide detector for my home.": A CO detector is essential since carbon monoxide is undetectable by human senses.
B. "Breathing in carbon monoxide can cause headaches and nausea.": These are common early symptoms of carbon monoxide poisoning.
C. "I can detect the presence of carbon monoxide by its metallic odor.": Carbon monoxide is colorless, tasteless, and odorless. This indicates the client needs further teaching.
D. "A high concentration of carbon monoxide can cause death.": Prolonged or high-level exposure can be fatal due to tissue hypoxia.

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Correct Answer is C

Explanation

A. Activate the fire alarm system: This is important but comes after rescuing anyone in immediate danger.
B. Confine the fire by closing doors and windows: This helps prevent fire spread, but rescue comes first.
C. Rescue the client from immediate danger: According to the RACE acronym for fire response-Rescue, Alarm, Confine, Extinguish-the first step is always to rescue those in immediate danger.
D. Extinguish the fire if possible: Only attempt this if it is safe and others are not in danger.

A. Walk in front of the client to guide her in moving the walker. B. Make sure that the upper bar of the walker is level with the client's waist. C. Check that the client moves the walker first. D. Have the client move one leg forward with the walker.

Correct Answer is C

Explanation

A. Walk in front of the client to guide her in moving the walker: The nurse should walk slightly behind and to the side of the client to provide support if needed.
B. Make sure that the upper bar of the walker is level with the client's waist: The walker should be adjusted so that the handgrips are at wrist level when arms are at the sides.
C. Check that the client moves the walker first: Proper walker use involves moving the walker first, then the weaker leg, followed by the stronger leg.
D. Have the client move one leg forward with the walker: The walker must be moved first before advancing the legs.

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A nurse is reinforcing teaching for a client about carbon monoxide poisoning. Which of the following statements should the nurse identify as an indication that the client needs further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse enters a client's room and sees smoke coming from the client's trash can. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is helping an older adult client ambulate in the hallway for the first time since admission. The client has brought a standard walker from home. To ensure proper use of the walker and the safety of the client, which of the following actions should the nurse take?

Correct Answer is C

Explanation

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