The ED triage nurse identifies the client who can have treatment delayed for a few hours as the client with a
a. avulsed (knocked-out) tooth.
b. broken finger.
c. head injury from a fall.
d. large laceration that needs suturing.
A
This client requires treatment, but life/limb/vision is not threatened if care cannot be provided within 1 to 2 hours. The other injuries would require more rapid care to prevent future problems or possible complications.
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A patient with severe burns is admitted to the intensive care unit to stabilize and begin fluid resuscitation before transport to the burn center. The nurse should monitor the patient closely for what signs of the onset of burn shock?
A) Confusion B) High fever C) Decreased blood pressure D) Sudden agitation
A patient was admitted to the ICU 3 days ago with a diagnosis of myocardial infarction
The patient is complaining of increased chest pain when coughing, swallowing, and changing positions. The nurse hears a systolic scratching sound upon auscultation of the apical pulse. The nurse notifies the physician. Based on the symptoms, the physician suspects a(n) a. acute mitral regurgitation. b. aortic insufficiency. c. chronic mitral regurgitation. d. pericardial friction rub.
Which question or statement made by a nurse when obtaining a history from a lesbian woman indicates a lack of information on the nurse's part regarding health care needs for this population?
A. "Tell me about any sexual problems that are of concern to you." B. "You are probably not interested in learning about a breast self-examination." C. "Do you ever engage in heterosexual activity?" D. "Are you using safer sex precautions?"
An example of a daily change that may help decrease constipation is
a. drinking tomato juice instead of carbonated beverages with lunch. b. eating oatmeal and raisins instead of a bagel for breakfast. c. snacking on pretzels instead of potato chips. d. eating mashed potatoes instead of pasta with dinner.