A pregnant woman is admitted to the emergency room after a motor vehicle crash. She is unresponsive and covered with blood. A cervical spine collar and back board are in place. What should the nurse assess first?
A) Airway, breathing, circulation, and level of consciousness
B) Vital signs and urine output and protein
C) Fetal heart sounds, movement, and position
D) External and internal bleeding symptoms
A
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A patient with peptic ulcer disease secondary to chronic nonsteroidal anti-inflammatory drug (NSAID) use is prescribed misoprostol (Cytotec). The nurse would be most accurate in informing the patient that the drug:
A) Reduces the stomach's volume of hydrochloric acid B) Increases the speed of gastric emptying C) Protects the stomach's lining D) Increases lower esophageal sphincter pressure
A nursing home resident can walk only with difficulty and has trouble reaching the dining room by mealtime. In walking down the hall, she must frequently use the wall railings for supporting her weight, although her sense of balance is good
The entire nursing home has smooth tiled floors. Which of the following is likely the best mobility aid for the resident? A) Walker with four wheels B) Walker with two or no wheels C) Cane with a broad claw foot D) Wheelchair
A child is being evaluated for depression. An assessment tool the nurse expects the psychologist to use is the:
1. Denver Developmental Screening Test. 2. Revised Children's Manifest Anxiety Scale. 3. Parent Developmental Questionnaire. 4. Disruptive Behavior Disorders Rating Scale.
A patient is to receive an acetaminophen (Tylenol) suppository for an elevated temperature of 102.8° F. What actions must the nurse take? (Select all that apply.)
a. Ask if the patient is having any diarrhea. b. Lubricate the blunt end of the suppository. c. Put on a pair of sterile gloves. d. Place the patient in the Sims' position. e. Ask the patient to take a deep breath and bear down. f. Push the suppository into the rectum about 1 inch.