A client who suffered burns in a house fire reports a headache and is not consistently oriented to time. Which intervention by the nurse is most appropriate?
a. Increase the client's oxygen and obtain blood gases.
b. Draw blood for a carboxyhemoglobin lev-el.
c. Increase the client's intravenous fluid rate.
d. Perform a thorough Mini-Mental Status Examination.
B
These manifestations are consistent with moderated carbon monoxide poisoning. This client is at risk for carbon monoxide poisoning because he or she was in a fire in an enclosed space. The other options will not provide information related to carbon monoxide poisoning.
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The nurse should recognize what guiding principle in the treatment of this patient's angina? A) The patient will likely have a trial of antiplatelet drugs before being prescribed nitrates. B) The patient would benefit from a weekly intravenous dose of a beta blocker. C) The patient's angina may necessitate the use of a calcium channel blocker. D) The patient indicates a need for daily low-molecular weight heparin therapy
When assessing an alcoholic patient, the nurse notes short-term memory loss, painful extremities, foot drop, and muttered incoherent responses to her questions
The nurse recognizes these symptoms as most likely related to a condition caused by long-term alcohol abuse, which is known as __________ syndrome. Fill in the blank(s) with correct word
What factor increases the risk of respiratory infection for older adults?
a. Decreased ciliary action b. Decreased physical activity c. Inadequate hydration d. Poor personal hygiene
A 73-year-old client is admitted to the hospital. A nurse assesses the client for frailty. Which of the following indicate frailty? (Select all that apply.)
A) Diminished handgrip strength B) High level of physical activity C) Intentional weight loss D) Self-reported exhaustion E) Slow walking speed