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 C
Explanation
A. Umbilical cord compression typically causes variable decelerations, not early decelerations. Variable decelerations are characterized by an unpredictable drop in fetal heart rate and are often associated with cord compression.
B. Uteroplacental insufficiency usually leads to late decelerations, which occur after the peak of a contraction and are indicative of reduced blood flow to the placenta.
C. Early decelerations are associated with fetal head compression during contractions. These decelerations mirror the contraction pattern and are usually benign, indicating that the fetal head is engaging in the pelvis.
D. Maternal bradycardia refers to a slow heart rate in the mother, not the fetus. It is not associated with early decelerations in the fetal heart rate.
Correct Answer is B
Explanation
A. At 2 months old, infants typically do not have the fine motor skills necessary to grasp objects intentionally. This skill usually develops around 4 to 6 months of age.
B. By 2 months of age, infants are expected to follow objects with their eyes as their visual tracking improves. This is a normal developmental milestone for this age.
C. Laughing and squealing are typically seen later, around 4 to 6 months of age. At 2 months, infants may coo and make other vocalizations but not laugh or squeal.
D. Rolling from back to side usually begins around 4 to 6 months of age. At 2 months, infants are generally not yet capable of this movement.
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.