An individual contacts the emergency room of the local hospital to ask what to do for a skiing partner who appears to be suffering from hypothermia. The victim is alert and able to respond to questions
Which of the following actions does the nurse instruct the individual to have the vic-tim take? a. Take sips of brandy.
b. Drink warm soup.
c. Drink a cup of very hot coffee.
d. Run the affected extremities under hot water.
B
A conscious client benefits from drinking hot liquids such as soup.
Alcohol should be avoided.
Caffeinated fluids should be avoided.
Affected extremities should be warmed gradually. Tissue damage could occur if the extremities are placed under hot water. The entire body should be warmed, such as by putting heating pads next to the head and neck, where heat is lost most quickly.
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You are reviewing the lab reports for a Jehovah's Witness client. Your understanding of this religion is that they will not accept blood transfusions even though the lab values indicate that the client needs the blood
You decide to intervene for the patient by A) calling the doctor for an order for a blood transfusion. B) consulting pastoral care to talk to the patient. C) asking the client if he would reconsider the decision not to receive blood. D) informing the doctor of the lab values and modifying care to meet the needs of the client since blood will not be administered.
A patient in Russell traction with a Pearson attachment for a fracture of the tibia complains of intense pain at the fracture site. The nurse assesses a temperature of 102° F and increased swel-ling at the fracture site
Which complication do these findings suggest? a. Osteomyelitis b. Fat embolism c. Traction misalignment d. Nonunion of the fracture
Which nursing diagnosis is possible for a patient who is now recovering after having been under general anesthesia for 3 to 4 hours during surgery?
A. Impaired urinary elimination related to the use of vasopressors as anesthetics B. Increased cardiac output related to the effects of general anesthesia C. Risk for falls related to decreased sensorium for 2 to 4 days postoperatively D. Impaired gas exchange due to the CNS depressant effect of general anesthesia
A 10-year-old male is brought to the emergency room (ER) incoherent and semiconscious. CT scan reveals that he is suffering from cerebral edema. This type of edema is referred to as:
a. localized edema. b. generalized edema. c. pitting edema. d. lymphedema.