Master11

A adult patient with a knife injury to the neck has an intact airway and is hemodynamically stable. They complain of difficulty swallowing and speaking. In the primary survey, further assessment is indicated next for which of the following conditions? a. Damage to the cervical spine b. An expanding pneumothorax c. Laceration of the carotid artery d. Injury to the thyroid gland - ansa. Damage to the cervical spine A patient arrives at the emergency department by private vehicle af...

A 5-year-old child presents to the emergency department with bruises to the upper arms and buttocks in various stages of healing and multiple small, clean, round burns to the back. There are no abnormalities found based on the pediatric assessment triangle or primary survey. Which of the following is the priority nursing intervention? A.Report your suspicion of maltreatment in accordance with local regulations B.Apply ice to the bruises and provide wound care C.Engage in therapeut...

You are caring for a patient who was thrown from a bike and was not wearing a helmet. While performing the head-to-toe assessment, you note clear drainage from the right ear. Which of the following is the most appropriate next step? A. Clean the ear with a cotton-tipped applicator. B. Pack the ear with gauze. C. Notify the physician D. Document and continue the exam. - ANSWER--C. Notify the physician A patient is brought to the emergency department of a rural hospital...

Answer: C A) The driver of the vehicle collides with the steering wheel B) the vehicle collides with a tree C) the aorta is torn at its attachment with the ligamentum arteriosum D) the airbag deploys and strikes the front seat passenger *** Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c a) to measure oxygenation and ventilation b) to quantify the base deficit for the adequacy of cellular perfusion c) to gauge end-organ pe...

Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c correct answera) to measure oxygenation and ventilation b) to quantify the base deficit for the adequacy of cellular perfusion c) *to gauge end-organ perfusion and tissue hypoxia ** d) to determine the underlying cause of shock A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breaths/min. ...

At 38 weeks' gestation, a client is in active labor. She is using her Lamaze breathing techniques. The RN is coaching her breathing and encouraging her to relax and work with her contractions. Which one of the following complaints by the client will alert the RN that she is beginning to hyperventilate with her breathing? A. "I am cold." B. "I have a backache." C. "I feel dizzy." D. "I am nauseous." Answer: C Explanation: (A) Cold is not a symptom of hyperventilat...

A nurse is preparing to administer Xylocaine to a client. The medication is packaged in an ampule. What should the nurse do with the unused portion of the Xylocaine? Discard any unused portion of the Xylocaine in the ampule. A couple with young children asks the nurse about the factors that contribute to a strong family unit. What instruction is of the highest priority for the nurse to provide to the parents? Participation from both parents in child rearing is important. Know the...

1. The nurse shows a teenager how to use a metered dose inhaler of ipratropium (Atrovent). Which statement, if made by the patient to the nurse, indicates teaching is effective? 1. “I should use this medicine to stop the coughing that leads to an asthma attack” 2. “I should use this medicine if I begin to have an asthma attack” 3. “I should use this medicine right after I have an asthma attack” 4. “I should use this medicine to prevent an asthma attack” CORRECT>&...

The nurse is monitoring a patient receiving oxygen therapy. Which assessment is a priority to ensure effective therapy? -correct-answer-Assess for proper placement of the nasal cannula The LPN is caring for a teenager that was rushed to the emergency room (ER) following her mother's complaint her teen has been irritable, barely eats/drinks, and has had diarrhea for the past three days. The teenagers respiratory rate is elevated. PAO2 is 99% and skin is dry. The physician orders ar...

A nurse is caring for elderly patients in an assisted-living facility. Which of the following effects of aging should the nurse consider when performing a urinary assessment? Decreased bladder contractility may lead to urine retention and stasis, which increase the likelihood of urinary tract infection. The nurse is caring for a patient who is not allowed oral intake of fluid or food. When evaluating this patient's urinalysis, what would the nurse anticipate? An increased urine spe...

What does fluid overload do to the body What is an isotonic solution? What does an isotonic fluid do to body? Where does isotonic fluid go?

A nurse is caring for a person who has terminal cancer. Which of the following client statements should the nurse identify as an indication that the client is experiencing the depression stage of Kubler-Ross' stages of grief? A. "What did I do to deserve to be punished like this?" B. "I would give anything to live to see my daughter's graduation." C. "I feel so sad that I will be leaving my partner and children behind." D. "I am planning to seek a second ...

If psychiatric nurses used Orems theory for structuring much of their nursing practice, a major focus area for assessment would be the clients ability to do which of the following? 1. Adapt and function to meet various role expectations. 2. Care about self and participate in self-healing. 3. Implement self-care to meet psychosocial needs. 4. Enter into a therapeutic one-to-one relationship with the nurse. Answer: 3 The psychiatric mental health nurse is asked to develop an interv...

What is within the scope of practice for a CCMA ? - Correct Answer>>1. Educating patients on how to take their medication 2. Health promotion of the patient. 3. Performing an EKG. 4. Taking patients vitals. 5. Performing urinalysis. 6. Performing a throat culture. 7. Patient education. What is outside the scope of practice ? - Correct Answer>>1. Diagnosing patients. 2. Administering narcotics. 3. Interpreting laboratory results. 4. Pathogenic identification. ...

A medical assistant is adding information to a patient's computerized problem-oriented medical record (POMR). Into which of the following sections of the POMR should the assistant enter the pt's health history and lab results? - answer-database The provider should enter these on every problem recorded on the problem list. The notes should be entered chronologically and should include the CC, treatment, and responses treatment. - answer- progress note A medical assis...

A medical assistant observes a patient with his arms crossed tightly across his chest and leaning back in his chair. The medical assistant should identify these behaviors as indications that the patient is feeling which of th following? A. Receptive B. Angry C. Embarrassed D. Empathetic B. Angry While a male provider is performing a gynecological pelvic examination, the medical assistant should A. Retrieve supplies to prepare for the next scheduled exam. B. Bring the next p...

1. Postpartum patient's lab data 12 hours after delivery includes maternal blood type and Rh factor is A+, rubella status 1:8, hematocrit 30% and WBC 12,000. What is the nurse's expected response to this information? a. Anticipate administration of antibiotics for treatment of an infection b. Contact physician for new orders to address effects of postpartum hemorrhage c. Administer Rhogam as ordered at time of discharge d. Administer Rubella vaccination prior to discharge from ...

Criteria for choosing an effective drug for a disorder include: - CORRECT ANSWERS Consulting nationally recognized guidelines for disease management Nurse practitioner practice may thrive under health-care reform because of: - CORRECT ANSWERS The demonstrated ability of nurse practitioners to control costs and improve patient outcomes A patient's nutritional intake and laboratory results reflect hypoalbuminemia. This is critical to prescribing because: - CORRECT ANSWERS D...

If a patient has a colostomy in the area known as the "ascending colon," what would the nurse expect of the stool in the colostomy device? a. Stool would be dark. b. Stool would be formed. c. Stool would be loose. d. Stool would have flecks of blood. - CORRECT ANSWERS C (The correct answer is C because stool in the ascending colon is loose or watery. Stool should not be dark or have f lecks of blood. This would be an abnormal finding. Stool would not be loose, because the...

NUR 215Nursing Process - CORRECT ANSWERS ADPIE; systemic problem solving process that guides all nursing actions Nursing Process Assessment - CORRECT ANSWERS Use open ended questions to gather subjective data and look at lab tests and a physical assessment for objective data which you then cluster together to analyze CAN COME FROM OTHER HEALTHCARE PROVIDERS AND THEIR OBSERVATIONS AS WELL AS PATIENTS FAMILY Nursing Process Diagnoses - CORRECT ANSWERS What statement best fits ...