A client who is admitted after a thermal burn injury has the following vital signs: blood pressure, 70/40; heart rate, 140 beats/min; and respiratory rate, 25 breaths/min. He is pale, and it is difficult to find pedal pulses
Which action does the nurse take first? a. Begin intravenous fluid resuscitation.
b. Check pulses with a Doppler device.
c. Obtain a complete blood count (CBC).
d. Obtain an electrocardiogram (ECG).
A
Hypovolemic shock is a common cause of death in the emergent phase of clients with serious injury. Fluids can treat this problem. ECG and CBC will be taken to ascertain whether a cardiac or bleeding problem is causing these vital signs. However, these are not actions that the nurse would take immediately. Checking pulses would indicate perfusion to the periphery, but this is not an immediate nursing action.
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A young man rolled his wheelchair up the ramp into the clinic to the desk where the intake nurse greeted him. After welcoming him to the clinic, which of the following should be the initial question asked by the nurse?
a. "Are you a vet home from the war?" b. "Can I help you into the treatment room to see the nurse practitioner?" c. "Do you have any family with you to help today?" d. "What brings you to the clinic today?"
Which of the following older adults with chronic conditions is most likely to have the greatest care needs?
A) An 80-year-old woman with varicose veins who has just been diagnosed with osteoarthritis. B) A 74-year-old man with macular degeneration and type 1 diabetes. C) A 77-year-old man who has long-standing hypertension and is displaying early signs of chronic renal failure. D) An 84-year-old woman who lives with severe hearing loss and recurrent hemorrhoids.
This figure provides an illustrated example of a curvilinear relationship. What does a curvilinear relationship signify? (Select all that apply.)
a. The relationship is more complex than can be illustrated by a straight line. b. The most positive value of one variable is seldom associated with the most positive value or the most negative value of the other variable. c. The value of one variable cannot be predicted if the other is known. d. A relationship represented by an arc explains a large portion of the variation in the independent variable. e. The relationship between the variables is statistically significant. f. An increase in the value of one variable may be associated with either an increase or a decrease in the value of the other.
Which definition, given by the nurse indicates understanding of malpractice?
a. "Malpractice is a criminal act committed against society.". b. "Malpractice means doing something a reasonable person or nurse would not do.". c. "Malpractice is an intentional professional act of negligence.". d. "Malpractice is a professional act or failure to act that leads to injury of a patient.".