An accident victim comes to the emergency department with an open chest wound. What should the nurse apply to the wound?
a. Occlusive dressing taped on four sides
b. Tight Ace wrap
c. No dressing of any sort
d. Vented dressing, taped on three sides
D
A vented dressing taped on three sides allows no more air to enter the pleural space but allows the expanding lung to push air out. A four-sided dressing allows the trapped air to remain and possibly collapse the lung.
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The nurse manager is writing annual evaluations for each nurse. In order to promote professional development, in which is it vital for the nurse manager and nurse to become involved?
1. Personal organization 2. Priority setting 3. Goal setting 4. Limit setting
You plan to inspect and palpate your patient's epitrochlear lymph nodes. You would ask the patient to assume which of the following positions?
a. supine c. sitting b. prone d. standing
Your client has third-degree burns over much of the body. As you reassess, you note ascites in the client's abdomen and are aware that:
1. the client must have liver compromise because ascites is liver-related. 2. the ascites must be misplaced edema. 3. this is a normal response. 4. the client has third spacing.
Which of the following vaccines can be given subcutaneously?
1. MCV4 2. Varicella 3. MMR 4. Rotavirus