Which patient would the nurse prioritize as needing emergency treatment, assuming no other injuries are present except the ones outlined below?
A) A patient with blunt chest trauma with some difficulty breathing
B) A patient with a sore neck that was immobilized in the field on a backboard with a cervical collar
C) A patient with a possible fractured tibia with adequate pedal pulses
D) A patient with acute confusion due to a drug reaction
A
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A nurse is caring for a client who has been admitted with a fracture in his hand. How should the nurse assist the client to undress at the bedside?
A) Roll the client from side to side. B) Lift the client's head to guide the garment over it. C) Gather the garment and work it up and over the body. D) Ask the client to lift his hips to slide clothes up or down.
A child must wear a brace for correction of scoliosis. The nursing diagnosis that should be included in this child's plan of care is:
1. Risk for impaired skin integrity. 2. Risk for altered growth and development. 3. Risk for impaired mobility. 4. Risk for impaired gas exchange.
The nurse is caring for a client who experienced an immune response resulting from exposure to a foreign material. Which blood components or pathophysiological processes represent foreign materials? Select all that apply.
A) Autologous stem cells B) One unit of packed red blood cells (PRBCs) C) Thromboembolism D) Normal saline solution E) Renal calculus
During morning rounds, the nurse is told one of her clients will need a platelet transfusion. From this information, the nurse infers that which should be removed from a client's room?
1. Visitors 2. Magazines 3. Fresh flowers 4. Shaving razors