A nurse is working in the emergency department when a 17-year-old patient presents in acute sickle cell crisis. He tells the nurse he is just getting over the flu and has been vomiting for three days
What is the nurse's highest priority for this patient?
A) Start an IV and give fluids to hydrate the patient.
B) Give morphine before completing the assessment because he is in pain.
C) Give the patient some food because he has been vomiting.
D) Leave the patient alone because he is in pain and doesn't want to be bothered.
B
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A middle-aged woman was obese and being treated for hypertension; and her blood tests showed elevated triglycerides and low high-density lipoprotein (HDL)
Besides recommending physical activity, which of the following nutritional guidance should be provided by the nurse? a. Buy a good diet book, and follow its advice. b. Eat fish and seafood such as salmon, halibut, tuna, and scallops at least three times a week. c. Use olive oil when you cook, especially if you are frying food. d. You have to lose weight, so stop all desserts and eat nothing but salads for 2 weeks.
A 50-year-old man comes to the crisis clinic after being terminated from his job of 15 years. He tells
the nurse "I do not know what to do. How will I get another job? Who will pay the bills? How will I get money to feed my three kids? I am not in the driver's seat anymore!" The nursing diagnosis that should be considered is a. hopelessness. b. powerlessness. c. chronic low self-esteem. d. disturbed thought processes.
An older female patient asks the home care nurse what can be done to help with painful intercourse. What recommendations should the nurse make to the patient? Select all that apply.
1. Avoid intercourse. 2. Decrease the frequency of intercourse. 3. Use vaginal lubricants during intercourse. 4. Use the hand to guide the penis into the vagina. 5. Tolerate the problem because it is a normal part of aging.
A wheelchair-dependent older woman would most likely develop skin breakdown at:
a. C7. b. the iliac crests. c. L4. d. the gibbus.