After stabilizing a trauma victim's airway, breathing, and circulation, the next item for the ED nurse to assess is
a. abdomen.
b. broken bones.
c. integument.
d. neurologic status.
D
Once it is determined that the client's airway, breathing, and circulation (ABC) status is satis-factory, the secondary assessment is performed to identify any other non–life-threatening prob-lems the client may be experiencing. The secondary assessment includes the following elements: neurologic assessment, history, pain, general overview, and focused assessment.
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A child is hospitalized with acute kidney injury (AKI) and has a critical hyperkalemia. Which order would the nurse question as inappropriate for this child?
A. Calcium gluconate B. Dextrose and insulin C. Emergent dialysis D. Kayexalate (sodium polystyrene) enema
At Hospital Ajax, there has been a 20% increase in instruments and sponges being left in patients during surgery and surgeries on the wrong limbs. These are known as:
a. Sentinel events. b. Medically sensitive events. c. Nurse-sensitive events. d. Never events.
The nurse is assessing the effectiveness of noninvasive positive pressure ventilation for a patient. Which of the following would indicate that the patient is tolerating the device?
1. blood pH 7.28 2. decreased use of accessory muscles 3. respiratory rate 26 4. moderately difficult to arouse
The caring–healing modalities within the context of transpersonal caring/caritas consciousness potentiate harmony, wholeness, and unity of being by releasing
A. Neuromuscular tension. B. Old childhood memories. C. Some of the disharmony, the blocked energy that interferes with the natural healing processes. D. A & B