Author Question: The patient has recently moved into a newly renovated home in the inner city. The patient is being ... (Read 113 times)

Collmarie · **on:** Jul 22, 2018

The patient has recently moved into a newly renovated home in the inner city. The patient is being seen in the clinic for complaints of ongoing headaches, nausea, dizziness and fatigue. The symptoms started shortly after moving into the new home.

As the nurse gathers information, which of the following questions would be most appropriate to ask the patient? a. Have you changed the battery in your smoke alarm recently?
b. Have you changed your diet since moving?
c. What type of furnace do you have?
d. When was the last time your house was painted?

Question 2

Which patient is most likely to have developmental effects due to prolonged immobility?

a. Toddler patient in traction for a congenital skeletal anomaly
b. Young adult patient with burns on the hands
c. Teenage patient with a bacterial infection in isolation
d. Middle-age adult patient with a fractured ankle on crutches

tkempin · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
A furnace, stove, or fireplace that is not properly vented introduces carbon monoxide into the environment. This gas binds strongly with hemoglobin; preventing the formation of oxyhemoglobin and thus reducing the supply of oxygen delivered to the tissues. Low concentrations cause nausea, dizziness, headache, and fatigue. The importance of having a proper working smoke detector will decrease the chance of smoke inhalation and potential death owing to a fire but does not produce the symptoms listed. A balanced diet and proper storage of food is essential to decrease the chance of infection to the gastrointestinal system but does not produce the symptoms listed. Painting would not produce the symptoms listed even if the paint is old and contains lead as it must be ingested.

Answer to Question 2

A
The toddler would be most affected because of the prolonged immobility. Developmental effects of immobility more commonly affect the very young and the older adult. When the infant, toddler, or preschooler is immobilized, it is usually because of trauma or the need to correct a congenital skeletal abnormality. Prolonged immobilization delays the child's motor skill and intellectual development. The immobilized young or middle-age adult experiences few, if any, developmental changes. The young and middle adult patients are mobile, not immobile. The teenage patient may have developmental effects due to the isolation but the question asked for prolonged immobility, which this patient does not have.