A patient presents to the emergency department following a motor vehicle collision in which he sustained a significant blow to the area of the right ear. The patient tells the nurse that something is leaking from the right ear
What should the nurse suspect?
A) Nasal fracture
B) Intracranial bleed
C) Basilar skull fracture
D) Fractured clavicle
C
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When admitting a critically ill patient with anemia, then nurse will most probably assess the patient for
A) tachycardia and tachypnea. B) joint pain and muscle spasms. C) chronic, persistent cough and hemoptysis. D) hemiparesis and vertigo.
During a physical examination, the nurse discovers that the patient demonstrates signs of flushed, dry, hot skin; dry oral mucous membranes; and temperature elevation. The nurse should treat this data as the basis of a nursing diagnosis plan
What does this data represent? a. Symptoms b. Data clustering c. Signs of fluid overload d. Urinary retention
The nurse is caring for a postpartal client who is experiencing afterpains following the birth of her third child. Which of the following comfort measures should the nurse implement to decrease the client's pain? (Select all that apply.)
A. Offer warm blankets for her abdomen. B. Call the physician to report this finding. C. Inform her that this is not normal, and she will need an oxytocic agent. D. Massage the fundus of the uterus gently and observe lochia for clots. E. Administer a non-steroidal anti-inflammatory drug (NSAID).
A patient diagnosed with bipolar disorder will be discharged tomorrow. The patient is taking a mood stabilizing medication. What is the priority nursing intervention for the patient as well as the patient's family during this phase of treatment?
a. Attending psychoeducation sessions b. Decreasing physical activity c. Increasing food and fluids d. Meeting self-care needs