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Which of the following is a family-centered care concept ?
Cultural backgrounds are assessed and incorporated into the plan of care.
A 14-year-old patient with Down syndrome presents with an abnormal gait, head tilted to the left,
decreased sensation to the extremities, and urinary incontinence. The patient has no history of
,trauma. Which of the following diagnostics is the priority for this patient?
Cervical spine radiographs
A 10-year-old arrives at the ED post motor vehicle crash. The following assessment is noted:
hypotension, tachycardia, absent breath sounds from the left chest with an increased respiratory
rate, pain on palpation of the pelvis, tinge of blood noted at the urinary meatus, moderate active
bleeding from a laceration to left thigh, pulse oximetry of 86% without supplemental oxygen,
deformity to the left upper leg, and a Glasgow Coma Score of 7. Which of the following orders will
prompt the nurse to have a discussion with the provider before initiating?
Assist with chest tube insertion (wrong)
Remediation feedback:
Urinary catheters are contraindicated for placement if pelvic injury is suspected or
blood is noted at the urinary meatus. Scrotal or perineal discolorations with edema to
the areas is also a contraindication for this adjunct.
, Which of the following is appropriate administration of N-acetylcysteine (NAC) for an
acetaminophen overdose?
A bolus infusion of 150 mg/kg NAC should be administered.
A child with bipolar disorder is brought to the emergency department for increasing irritability,
agitation, pressured speech, and a decreased need for sleep. What should be included in the plan
of care for this child?
Performing a suicide risk assessment
A 14-year-old patient had a reduction of a temporomandibular joint dislocation in the ED. Which of
the following should be included in the discharge instructions?
Which of the following is a family-centered care concept ?
Cultural backgrounds are assessed and incorporated into the plan of care.
A 14-year-old patient with Down syndrome presents with an abnormal gait, head tilted to the left,
decreased sensation to the extremities, and urinary incontinence. The patient has no history of
,trauma. Which of the following diagnostics is the priority for this patient?
Cervical spine radiographs
A 10-year-old arrives at the ED post motor vehicle crash. The following assessment is noted:
hypotension, tachycardia, absent breath sounds from the left chest with an increased respiratory
rate, pain on palpation of the pelvis, tinge of blood noted at the urinary meatus, moderate active
bleeding from a laceration to left thigh, pulse oximetry of 86% without supplemental oxygen,
deformity to the left upper leg, and a Glasgow Coma Score of 7. Which of the following orders will
prompt the nurse to have a discussion with the provider before initiating?
Assist with chest tube insertion (wrong)
Remediation feedback:
Urinary catheters are contraindicated for placement if pelvic injury is suspected or
blood is noted at the urinary meatus. Scrotal or perineal discolorations with edema to
the areas is also a contraindication for this adjunct.
, Which of the following is appropriate administration of N-acetylcysteine (NAC) for an
acetaminophen overdose?
A bolus infusion of 150 mg/kg NAC should be administered.
A child with bipolar disorder is brought to the emergency department for increasing irritability,
agitation, pressured speech, and a decreased need for sleep. What should be included in the plan
of care for this child?
Performing a suicide risk assessment
A 14-year-old patient had a reduction of a temporomandibular joint dislocation in the ED. Which of
the following should be included in the discharge instructions?
