A nurse is triaging clients in an urgent care clinic. Which of the following clients should the nurse have the provider care for immediately?
A toddler who has a laceration on his forehead and is crying
An adolescent female client who is belligerent and has slurred speech
A young adult with a painful sunburn of his face and arms
A middle adult male who is diaphoretic and reports epigastric pain
The Correct Answer is D
A. A laceration on the forehead of a toddler, while needing attention, is not as urgent as symptoms suggestive of a myocardial infarction.
B. Belligerence and slurred speech in an adolescent could indicate substance use or neurological issues, but it is less immediately life-threatening than symptoms of a myocardial infarction.
C. While painful sunburn can be uncomfortable, it is not as critical as symptoms indicative of a potential heart attack.
D. Diaphoresis and epigastric pain can be symptoms of a myocardial infarction (heart attack), which is a potentially life-threatening condition requiring immediate medical attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While iron is important during pregnancy, increasing iron intake does not specifically reduce the risk of neural tube defects.
B. Folic acid is crucial in reducing the risk of neural tube defects, and consuming foods fortified with folic acid or taking supplements is recommended for women planning to become pregnant.
C. Limiting alcohol consumption is important for overall fetal health but does not specifically prevent neural tube defects.
D. Avoiding foods containing aspartame is not necessary for reducing the risk of neural tube defects; the focus should be on folic acid intake.
Correct Answer is B
Explanation
A. Rubella vaccination is not recommended during pregnancy due to potential risks to the fetus.
B. The rubella vaccine should be administered shortly after giving birth to avoid any risks to the developing fetus and to provide protection before future pregnancies.
C. Immediate vaccination is not recommended as rubella vaccination should be avoided during pregnancy.
D. Rubella vaccination should be given postpartum rather than during the next attempt to get pregnant.
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