Medical-Surgical Nursing Study Set 1
Quiz 8 :
Care of Patients With Common Environmental Emergencies
An old patient has exhaustion due to heat. The patient is being cooled with fanning and a spray of cool water. Option A is not correct since being alert and oriented is actually a good sign. So, the nurse need not fear if the patient is alert and oriented. Option B is not correct since dryness and stickiness of mucous membranes is not seen in heat-related illness. So, the nurse need not fear. Option C is the correct option. Since the patient reports weakness and nausea which is also a sign for heat stroke. The nurse should seek hospitalization for the patient. Option D is not the correct option. Usually sweating stops when heat stroke occurs. Hence, the correct option is C. patient reports weakness and nausea.
An occupational health nurse teaches a class of employees who work outdoors. The risk factors for the development of frostbite she teaches them are: Option A is one of the correct options since excess fatigue is also one of the risk factors for frostbite. Option B is also one of the correct options since prior episodes of frostbite makes the person more susceptible. Option C is also correct since peripheral vascular disease results in low circulation in the peripheral parts of the body. Option D is also correct since dehydration is one of the risk factors for frostbite. Option E is also correct since smokers are also susceptible to frostbite. Option F is also correct. Wearing polyester socks is good for the cold. But woolen socks are better. Hence, the correct options are A, B, C, D, E, and F.
A person who had gone for a climbing expedition has symptoms of headache and nausea. The individual takes rest for one day at the present altitude. The next day he climbs further high up the mountain. The other members of his team soon notice that he has developed difficulties in motor coordination. Option A cannot be the correct option taken by the nurse. It can be the second option which can be taken by the nurse. Option B cannot be the correct option since it is of secondary importance. Option C is the correct option. The patient has to move to a lower altitude to reduce the symptoms of acute mountain sickness. This is the first thing the nurse has to do on priority. Option D cannot be the correct option as even if the patient stays warm, the symptoms will not abate till the patient is moved to a lower altitude. Hence, the correct option is option C. move to a lower altitude.