Author Question: A client collapses during a marathon, complaining of headache, weakness, dizziness, nausea, and ... (Read 88 times)

mspears3 · **on:** Jul 22, 2018

A client collapses during a marathon, complaining of headache, weakness, dizziness, nausea, and muscle cramps. The client's skin is moist, cool, and pale. Which of these actions should the nurse take?

a. Move client to a cool area, and administer copious amounts of water.
b. Loosen constrictive clothing, pour water over client, and place client near a fan.
c. Immerse client in cool-water bath, and initiate IV fluids.
d. Initiate IV fluid replacement, place client on cardiac monitor, remove clothing, and pour cool water over client.

Question 2

A client who has been exhibiting flexion posturing after a stroke 2 days ago develops extension posturing. The nurse should recognize that this change indicates the client's condition is:

a. worsening c. improving
b. unchanged d. an expected progression of stroke

izzat · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
Extreme heat also causes potentially serious problems, especially in very young or elderly clients. Nursing interventions include loosening constrictive clothing, pour water over client to reduce body temperature, and place client near a fan.

Answer to Question 2

A
Any change from flexion to extension posturing indicates a worsening of the client's condition.