NURSE SOLUTIONS

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The "A" in ABCD stands for . You should assume that any patient in a multisystem trauma with an altered level of consciousness or blunt injury above the clavicle has what type of injury? Airway maintenance with CERVICAL SPINE PROTECTION Cervical spine injury Flail chest is invariably accompanied by pulmonary contusion - do NOT over fluid which can interfere with blood oxygenation. Hypotension is caused by until proven otherwise. When you don't have/can't get a blood pressur...

A 22 year old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His blood pressure is initially 80/40 mmHg. After 2 liters of crystalloid solution his blood pressure increases to 122/84 mmHg His heart rate is now 100 beats per minute and his respiratory rate is 28 breaths per minute. His breath sounds are decreased in the left hemithorax, and after initial IV fluid resuscitation, a closed tube thoracostomy is performed for decreased left breath sounds with the ...

What is the primary goal of treating TBI? How is this done? - ANSWER preventing secondary brain injury. This is done by maintaining blood pressure and providing adequate profusion. After managing ABCDEs of TBI what MUST be identified if present? How is this done? - ANSWER mass lesion that requires surgical evacuation is critical! this is done with CT. NOTE: obtaining a CT should not delay patient transfer to trauma center. Which...

What is the primary goal of treating TBI? How is this done? -Answer- preventing secondary brain injury. This is done by maintaining blood pressure and providing adequate profusion. After managing ABCDEs of TBI what MUST be identified if present? How is this done? - Answer- mass lesion that requires surgical evacuation is critical! this is done with CT. NOTE: obtaining a CT should not delay patient transfer to trauma center. Which brain lobes do the following hold: 1. anterior fossa: 2. m...

1. What is the primary goal of treating TBI? How is this done?: preventing secondary brain injury. This is done by maintaining blood pressure and providing adequate profusion. 2. After managing ABCDEs of TBI what MUST be identified if present? How is this done?:  mass lesion that requires surgical evacuation is critical! this is done with CT. NOTE: obtaining a CT should not delay patient transfer to trauma center. 3. Which brain lobes do the following hold: 1. anterior fossa...

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A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? A. Take temperature once a day. B. Wash the armpits and genitals with a gentle cleanser daily. C. Change the litter boxes while wearing gloves. D. Wash dishes in warm water. Ans A. A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the followin...

The NFPA requires that, at minimum ppe clothing should be cleaned every _______ months a. 12 b. 6 c. 9 d. 14 Correct answer- b. 6 National Fire Protection 1001 is ? A. Standard for firefighting professional qualifications B. Standard for Industrial Fire Brigades C. Standard for fire department occupational safety and health program D. standard for Blood Borne Pathogen training Correct answer- A. Standard for firefighting professional qualifications Historically, the standard op...

Whyisameasureofserumlactateobtainedintheinitialassessmentofthetraumapatient? Answer:ccorrectanswera)tomeasureoxygenationandventilation b) toquantifythebasedeficitfortheadequacyofcellularperfusion c) *togaugeend-organperfusionandtissuehypoxia** d) todeterminetheunderlyingcauseofshock Atraumapatientisrestlessandrepeatedlyasking"whereamI?"vitalsignsuponarrivalwereBP100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. Her skin is cool and dry. Current vital signs are BP 104/84mm Hg, HR 108...

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Chapter 1: An Introduction to Evidence-Based Clinical Practice Guidelines MULTIPLE CHOICE • What is the primary purpose of the nursing assessment? • Identifying underlying pathologic conditions • Assisting the physician in identifying medical conditions • Determining the patients mental status • Exploring patient responses to health problems ANS: D A nursing assessment is done to identify the patients response to health problems. During the nursing assessment phase, a...

The nurse is instructing a patient on the role of diet, exercise, and medication to control type 2 diabetes mellitus. Which core competency for healthcare professionals is the nurse implementing? 1. Quality improvement 2. Evidence-based practice 3. Patient-centered care 4. Teamwork and collaboration Correct Answer: 3 Rationale 1: Identifying safety hazards and measuring quality is an example of the core competency quality improvement. Rationale 2: Using best research when providing pati...

. Florence Nightingale’s contributions to nursing practice and education: a. are historically important but have no validity for nursing today. b. were neither recognized nor appreciated in her own time. c. were a major factor in reducing the death rate in the Crimean War. d. were limited only to the care of severe traumatic wounds. ANS: C By improving sanitation, nutrition ventilation, and handwashing techniques, Florence Nightingale’s nurses dramatically reduced the death rate from ...

Which action by the nurse demonstrates implementation of Florence Nightingale’s original theories about nursing care? a. The patient is gently bathed and given fresh linens after giving birth. b. The nurse forms a close therapeutic relationship with the patient. c. The nurse helps the patient conserve energy for healing processes. d. The nurse views the patient as a unique, ever-changing energy field. ANS: A Florence Nightingale worked to improve sanitation and healing environments for ...

. Florence Nightingale’s contributions to nursing practice and education: a. are historically important but have no validity for nursing today. b. were neither recognized nor appreciated in her own time. c. were a major factor in reducing the death rate in the Crimean War. d. were limited only to the care of severe traumatic wounds. ANS: C By improving sanitation, nutrition ventilation, and handwashing techniques, Florence Nightingale’s nurses dramatically reduced the death rate from ...

1. Which of the following can be considered a purpose of the interview the RT performs? 1. To collect diagnostic information 2. To establish a rapport with the patient 3. To identify plans for payment 4. To identify the effect of therapy a. 1 and 4 only b. 2 and 3 only c. 1, 2, and 4 only d. 1, 2, 3, and 4 ANS: C Interviewing furnishes unique information because it provides the patient’s perspective. It serves the following three related purposes: (1) to establish a rapport between c...

1. A student nurse who is not yet licensed: a. may not perform nursing actions until he or she has passed the licensing examination. b. is not responsible for his or her actions as a student under the state licensing law. c. are held to the same standards as a licensed nurse. d. must apply for a temporary student nurse permit to practice as a student. ANS: C Student nurses are held to the same standards as a licensed nurse. This means that although a student nurse may no...