A woman stumbled into the rural health clinic and explained that she had an incredible headache. She was sweating and began vomiting into the wastebasket by the intake nurse's desk. Which of the following diagnoses should be anticipated by the nurse?
a. Acute adult panic disorder
b. Acute alcohol intoxication
c. Acute appendicitis
d. Acute meningitis
e. Acute pesticide poisoning
ANS: E
Signs and symptoms of acute pesticide poisoning are fairly clear, and most health providers in rural communities would recognize them. Common symptoms include headache, dizziness, diaphoresis, nausea, and vomiting. If left untreated, those affected may experience a progression of symptoms including dyspnea, bronchospasm, and muscle twitching. Deaths are relatively uncommon, but they do occur. The nurse is reminded that not all farm laborers are men. The symptoms that are being displayed are not typical of acute panic disorder, acute alcohol intoxication, acute appendicitis, or acute meningitis.
You might also like to view...
Which of these tests would the nurse use to check the motor coordination of an 11-month-old infant?
a. Denver II b. Stereognosis c. Deep tendon reflexes d. Rapid alternating movements
The nurse examining the conjunctivae of a healthy young adult would document a normal finding when recording that the color of the conjunctivae is
a. dark red. b. pale. c. pink. d. yellow tinged.
A nurse is caring for a patient who refuses to consume meat on Ash Wednesday and all Fridays during Lent. The nurse understands that this patient is of what religion?
a. Islam b. Mormonism c. Catholicism d. Presbyterianism
A nurse is assigned to care for four clients on the medical-surgical unit. Which client should the nurse see first on the shift assessment?
A. A client admitted with pneumonia with a fever of 100° F and some diaphoresis B. A client with congestive heart failure with clear lung sounds on the previous shift C. A client with new-onset of shortness of breath (SOB) and a history of pulmonary edema D. A client undergoing long-term corticosteroid therapy with mild bruising on the anterior surfaces of the arms