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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Crispy rice bar:Dry and brittle foods like a crispy rice bar are difficult to chew and swallow for clients with dysphagia. They increase the risk of choking or aspiration due to poor bolus control and lack of moisture, which is necessary for safe swallowing.

B. Soda crackers:Crackers are dry and crumbly, making them hard to manage for someone with impaired swallowing. They can fragment in the mouth and throat, increasing the risk of aspiration, particularly if the client cannot generate a strong, coordinated swallow.

C. Peanut butter:Peanut butter is thick and sticky, which poses a significant choking hazard for clients with dysphagia. It is difficult to clear from the mouth and throat and requires strong swallowing coordination, which is often impaired after a stroke.

D. Scrambled eggs:Scrambled eggs are soft, moist, and cohesive, making them ideal for clients with dysphagia. They are easy to chew and swallow, reducing aspiration risk while still providing adequate nutrition and texture suitable for modified diets.

A. Dextrose 5% in water B. Lactated Ringer's C. 0.9% sodium chloride D. Sterile water

Correct Answer is B

Explanation

A. Dextrose 5% in water: D5W is compatible with ceftriaxone for IV infusion. It is often used as a diluent for many IV antibiotics, including cephalosporins, and does not pose a risk of harmful interaction with this medication.

B. Lactated Ringer's: Ceftriaxone is incompatible with calcium-containing IV solutions like Lactated Ringer’s. The calcium in LR can bind with ceftriaxone and form precipitates, especially in neonates, posing a risk of embolism or organ damage.

C. 0.9% sodium chloride: Normal saline is compatible with ceftriaxone for reconstitution and infusion. It is commonly used as a safe diluent that does not cause chemical interaction with this antibiotic.

D. Sterile water: Sterile water is often used for initial reconstitution of IV medications. While it lacks electrolytes for large-volume infusions, it does not chemically interact with ceftriaxone in small reconstitution volumes.

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A nurse is teaching a community class about treating heat exhaustion. Which of the following instructions should the nurse Include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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