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. Identity vs. role diffusion is focused on adolescents developing a personal identity and sense of self, not on acceptance of death.
B. Integrity vs. despair is the final stage of Erikson's psychosocial development and involves reflecting on one's life and coming to terms with it, which includes accepting the inevitability of death.
C. Generativity vs. stagnation involves concerns about contributing to society and guiding future generations, not the acceptance of death.
D. Autonomy vs. shame and doubt is a stage focused on toddlers developing independence and self-control, rather than on issues related to death.
Correct Answer is ["B","C","D","E"]
Explanation
A. Milk is not a significant source of vitamin C. It is more commonly associated with calcium and vitamin D content.
B. Strawberries are a rich source of vitamin C, which is important for immune function, skin health, and the absorption of iron from plant-based foods.
C. Oranges are well-known for their high vitamin C content. They are a popular fruit choice for increasing dietary vitamin C intake.
D. Tomatoes are also a good source of vitamin C, contributing to the overall intake of this essential nutrient.
E. Green peppers are an excellent source of vitamin C, often containing even more vitamin C per gram than citrus fruits like oranges.
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