Nokea
An excited mother calls you for advice. 'My child got cleaning solution in the eyes and I rinsed it out with water. What should I do? She is still screaming!' What do you instruct the caller to do immediately?
- A. Comfort the child and check vision.
- B. Continue to irrigate eyes with water.
- C. Call Poison Control.
- D. Call 911.
Correct Answer: B
Rationale: Continuing to irrigate the eyes helps flush out any remaining chemical irritants and minimizes damage.
You may also like to solve these questions
You are admitting an elderly client to the medical unit. Which factor indicates that this client has a risk for acid-base imbalances?
- A. Myocardial infarction 1 year ago
- B. Occasional use of antacids
- C. Shortness of breath with extreme exertion
- D. Chronic renal insufficiency
Correct Answer: D
Rationale: The correct answer is D: Chronic renal insufficiency. Chronic renal insufficiency can lead to metabolic acidosis or alkalosis due to impaired kidney function in regulating acid-base balance. Renal insufficiency can cause retention or loss of bicarbonate ions, leading to imbalances. Myocardial infarction, occasional use of antacids, and shortness of breath with extreme exertion are not direct risk factors for acid-base imbalances.
A hospitalized Native American patient tells the nurse that later in the day a medicine man from his tribe is coming to perform a healing ceremony to return his world to balance. What should the nurse recognize about this situation?
- A. The patient does not adhere to an organized,formal religion.
- B. The patient’s spiritual needs may be met by traditional rituals.
- C. The patient’s spiritual needs may be met by traditional rituals.
- D. The patient may be putting his health in jeopardy by relying on rituals.
Correct Answer: B
Rationale: Traditional rituals such as those performed by a medicine man can meet the spiritual needs of Native American patients. This approach respects their cultural beliefs without undermining conventional medical treatment.
What is the purpose and advantage of methadone maintenance therapy?
- A. Increased alertness
- B. Lower immune response
- C. Faster metabolism
- D. Enhanced digestion
Correct Answer: C
Rationale: The correct answer is C because it is the most appropriate response based on physiological and medical principles.
What is the first symptom to occur in hypovolemia?
- A. Hypotension
- B. Thirst
- C. Central venous pressure below 2 to 3 mmHg
- D. Urine specific gravity high
Correct Answer: B
Rationale: Thirst is the earliest indicator of hypovolemia, as the body signals the need for fluid replacement before more severe signs like hypotension develop.
When teaching a group of clients about emergency care for a snake bite, which of the following information should the nurse include?
- A. Raise the affected extremity above the level of the heart.
- B. Immobilize the affected extremity with a splint
- C. Apply ice to the bite area
- D. Apply a tourniquet to the affected extremity.
Correct Answer: B
Rationale: The correct answer is B: Immobilize the affected extremity with a splint. This is important to prevent the spread of venom through the lymphatic system. Elevating the extremity (A) can increase the spread of venom. Applying ice (C) can constrict blood vessels, trapping venom in the area. Applying a tourniquet (D) can lead to tissue damage and worsen the condition. Immobilizing with a splint is the most effective way to limit movement and venom spread.