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Chapter 7: Problem 7

The nurse is caring for a client injured in a house fire. Which one of the following findings suggests carbon monoxide poisoning? A. Wheezing respirations B. “Cherry red” skin C. Gastric ulceration D. “Burgundy” colored urine

Short Answer

Expert verified
A. Wheezing respirations B. "Cherry red" skin C. Gastric ulceration D. "Burgundy" colored urine Answer: B. "Cherry red" skin

Step by step solution

01

Understanding the context of the question

The question revolves around a client injured in a house fire and under the care of a nurse. The goal is to identify a symptom that suggests the client might be experiencing carbon monoxide poisoning, by evaluating the provided options.
02

Evaluating Option A

A. Wheezing respirations Wheezing respirations are high-pitched, continuous sounds that can be a symptom of various respiratory issues. Although it may occur in severe cases of carbon monoxide poisoning, it is not the most specific or unique indicator of carbon monoxide poisoning. Hence, this option is not the most accurate answer.
03

Evaluating Option B

B. “Cherry red” skin "Cherry red" skin is a classic sign of carbon monoxide poisoning. When carbon monoxide binds to hemoglobin, it forms carboxyhemoglobin, which has a bright red color. As a result, the skin appears cherry red due to the high concentration of carboxyhemoglobin in the blood. This unique symptom indicates carbon monoxide poisoning. Therefore, this option is most likely the correct answer.
04

Evaluating Option C

C. Gastric ulceration Gastric ulceration refers to the formation of sores in the gastric lining. This condition is not directly related to carbon monoxide poisoning and is not a specific indicator of carbon monoxide poisoning. Consequently, this option can be ruled out.
05

Evaluating Option D

D. “Burgundy” colored urine "Burgundy" colored urine can be a symptom of various disorders, such as porphyria, hemolysis, or even medications causing urine discoloration. The presence of burgundy colored urine does not directly indicate carbon monoxide poisoning. Thus, this option is also not the most accurate answer.
06

Conclusion

Based on the evaluation of all the given options, the correct answer is "B. “Cherry red” skin." This symptom is a specific and unique indicator of carbon monoxide poisoning.

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Most popular questions from this chapter

The physician has ordered an emollient cream for a client with dry skin. To facili- tate rehydration of the skin, the nurse should do which of the following? A. Dry the skin thoroughly and apply the cream B. Use vigorous circular motion to apply the cream C. Apply the cream 2–3 minutes after the bath D. Use the cream only if flaking of the skin is noted

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