A small child has had vomiting and diarrhea for more than 12 hours, unrelieved by the medication prescribed by a pediatrician earlier in the day. The child is listless but awake and refuses anything offered by mouth; vital signs are normal
In which of these triage categories would the child be placed? a. emergent c. nonurgent
b. priority d. urgent
D
Not all clients who use the emergency department (ED) require immediate care. Clients and families define an emergency according to their own perceptions. Emergent clients require immediate care to sustain life or limb. Urgent clients require care within 1 to 2 hours to prevent a decline in their condition.
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The nurse is assessing a patient who was prescribed levodopa 1 week earlier. How might the nurse evaluate the effectiveness of drug therapy?
A) Stable mood B) Psoriasis C) Drug–drug interactions with dopaminergic agents D) Improvement in handwriting
Luci, an RN, arrives at work. The nurse manager tells her that the ICU needs more help and as Luci is the most experienced RN on this unit, she is being reassigned to work in the ICU for the day
Luci tells the nurse manager that although she is the most experienced, she has never worked in the ICU. She shares her concerns with the nurse manager regarding the lack of familiarity with the technical equipment and protocols of the ICU. The nurse manager states that she understands Luci's concern and reluctance, however, Luci is to go to the ICU. The most appropriate action Luci should take is to: A) Refuse to go to the ICU. B) Go to the ICU and tell the charge nurse that she is ill and needs to go home. C) Go to the ICU and inform the charge nurse of the tasks she is able to perform and those tasks with which she feels she needs assistance. D) Call the nurse manager's supervisor and report her for unsafe delegation.
While making rounds in the nursery, the nurse sees a 6-hour-old baby girl gagging and turning bluish. What would the nurse do first?
A) Alert the physician stat and turn the newborn to her right side. B) Administer oxygen via facial mask by positive pressure. C) Lower the newborn's head to stimulate crying. D) Aspirate the oral and nasal pharynx with a bulb syringe.
Your client has the nursing diagnosis Sexual dysfunction. You are able to determine this because of all the following factors EXCEPT that the client:
1. describes a change in sexual interest. 2. describes a lack of sexual interest. 3. describes a limitation on sexual performance. 4. has concerns about STDs.