A nurse is teaching a community class about treating heat exhaustion. Which of the following instructions should the nurse Include?
Have the client drink 360 mL (12 oz) of plain water.
Place the client in a cool environment.
Immerse the client in ice water.
Give the client salt tablets.
The Correct Answer is B
A. Have the client drink 360 mL (12 oz) of plain water: While rehydration is important, plain water alone may not be sufficient to replace lost electrolytes in heat exhaustion. Oral rehydration with electrolyte-containing fluids is usually preferred.
B. Place the client in a cool environment: Moving the client to a shaded or air-conditioned environment is essential to reduce core body temperature and prevent progression to heat stroke. This is a priority action in treating heat exhaustion.
C. Immerse the client in ice water: Ice water immersion is used in severe heat stroke, not heat exhaustion. It may cause vasoconstriction and shivering, which can worsen the condition if used prematurely.
D. Give the client salt tablets: Salt tablets are not recommended due to the risk of gastrointestinal irritation and potential for sodium overload. Balanced electrolyte fluids are a safer and more effective way to restore electrolyte balance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Have the client drink 360 mL (12 oz) of plain water: While rehydration is important, plain water alone may not be sufficient to replace lost electrolytes in heat exhaustion. Oral rehydration with electrolyte-containing fluids is usually preferred.
B. Place the client in a cool environment: Moving the client to a shaded or air-conditioned environment is essential to reduce core body temperature and prevent progression to heat stroke. This is a priority action in treating heat exhaustion.
C. Immerse the client in ice water: Ice water immersion is used in severe heat stroke, not heat exhaustion. It may cause vasoconstriction and shivering, which can worsen the condition if used prematurely.
D. Give the client salt tablets: Salt tablets are not recommended due to the risk of gastrointestinal irritation and potential for sodium overload. Balanced electrolyte fluids are a safer and more effective way to restore electrolyte balance.
Correct Answer is C
Explanation
A. Word salad: Word salad refers to a jumble of words or phrases that lack logical connection or meaning. The client's speech, though disorganized, contains rhyming and rhythmic elements rather than completely incoherent or random word use.
B. Echolalia: Echolalia is the repetition of words or phrases spoken by others, often seen in autism or schizophrenia. The client’s statements are self-generated and not repetitions of another person's speech.
C. Clang associations: Clang associations involve speech in which words are chosen based on their sound, particularly rhyming or alliteration, rather than meaning. The client's rhyming phrases such as "tie a bow," "row the boat," and "I see you, yo" indicate this pattern.
D. Neologisms: Neologisms are made-up or invented words with meaning only to the person using them. The client’s phrases use real words, even if arranged oddly, and do not include invented terms.
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