A patient who works in a non-air conditioned manufacturing plant is experiencing weakness and a headache. The patient's skin is cool and clammy, temperature is slightly elevated, and pulse rate is rapid
For which health problem should the nurse plan care for this patient?
a. Heatstroke
b. Heat cramps
c. Heat exhaustion
d. Initial signs of infection
ANS: C
Heat exhaustion occurs when the body loses water and electrolytes through heavy sweating that leads to hypovolemia. The patient has the symptoms of heat exhaustion. A. Heatstroke is characterized by altered mental status, inability to sweat, hot, dry, flushed skin, and extremely high body temperature. B. Heat cramps are characterized by painful muscle spasms, usually in the legs or abdomen that occur after strenuous exercise. D. The patient's history of working in a non-air conditioned plant during hot weather is not consistent with an infectious process.
You might also like to view...
Which intervention should the nurse use to decrease the risk of burns during mealtime in patients with mental and physical impairments?
a. Wait until the drink has cooled. b. Assist patients with warm drinks. c. Use plastic mugs instead of ceramic. d. Serve only cold beverages to patients at risk.
A nurse is providing discharge instructions to a patient who will be taking fludrocortisone at home. The nurse will encourage the patient to eat a diet that is
A) low in sodium and potassium. B) low in sodium, high in potassium. C) high in iron. D) low in proteins.
A nurse has complained to the human resources (HR) director regarding unfair treatment by the nurse's manager. The nurse describes receiving a written warning, unlike other nursing staff who exhibit similar behaviors but are not reprimanded
Which concerns would the HR director discuss with the hospital chief nursing officer? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The unusual management styles within the department 2. Confronting the manager's direct supervisor about allowing this situation to occur 3. The apparent inconsistencies in discipline within the unit 4. The potential for litigation that arises from this complaint 5. The need to terminate this problem employee
The patient, diagnosed with chronic myelocytic leukemia (CML), has not been responding to chemotherapy and the provider changes the patient to imatinib
The patient asks the nurse, "What adverse effects am I going to have to deal with from this drug?" What is the nurse's best response? A) "Adverse effects from this drug are more serious but this drug is stronger and more effective." B) "Adverse effects are similar to other drugs including bone marrow suppression, nausea, and hair loss." C) "Adverse effects are much less likely or severe including GI upset, headache, and muscle pain." D) "Adverse effects vary from patient to patient and depend on your overall health as to what will occur."