A patient presents to the emergency department with complaints of "feeling like something is ripping in my chest" and sudden onset of mid-back pain. The patient has a history of hypertension
What is the top priority in the care of this patient? 1. Contact the patient's family.
2. Facilitate an immediate CT scan.
3. Obtain a surgical history.
4. Provide pain medication.
2
Rationale 1: Contacting the family is not a top priority but should be done at the patient's request.
Rationale 2: Rapid diagnosis for this patient is imperative and may mean the difference between life and death. Facilitating an immediate CT or other diagnostic study will help with a diagnosis.
Rationale 3: A surgical history will be necessary for this patient but is not the initial priority.
Rationale 4: Pain medication will be required, but another intervention has top priority.
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Which of the following documentation entries is an example of objective data?
1. An area of erythema to the upper right extremity approximately 1 by 4 inches 2. Complaint of pain in the RLQ of the abdomen rated 5 on pain scale of 1 to 10 3. Family states that the patient does not sleep at night and wanders about the house 4. Assessment reveals past history of drug abuse
The nurse is caring for a 7-month-old girl during a well-child visit. Which of the following interventions is most appropriate for this child?
A) Discussing the type of sippy cup to use B) Advising the mother about the girl's increased calorie needs C) Explaining how to prepare table meats D) Describing the tongue extrusion reflex
Because of common cultural food preferences, avoidance of monosodium glutamate (MSG) is likely to be most problematic for the hypertensive patient of which group?
a. Native Americans b. Hispanics c. Chinese d. Italians
Which parental statements indicate correct understanding of the care that is needed for a pediatric client after the insertion of tympanostomy tubes? Select all that apply
1. "It is important to limit my child's diet after surgery and only allow soft, bland foods." 2. "I should restrict my child to quiet activities after surgery." 3. "I should plan to administer a decongestant to my child for 1 to 2 weeks following surgery." 4. "It is important for my child to drink plenty of fluids after the procedure." 5. "I will remind my child to use ear plugs prior to showering and swimming."