The nurse working in the Emergency Department receives a client who fell out of an apartment window onto a post and was transported by Emergency Services with the post still imbedded in the abdomen
The nurse, waiting for the physician to arrive, would: 1. Remove the post from the abdomen.
2. Gently tap on the post to determine how far it is inserted.
3. Secure the post to make sure it is not disturbed.
4. Obtain a signed permission for treatment.
3
Rationale: The most important intervention is to maintain the post in place until the client is taken to surgery, because removal can result in massive hemorrhage and the client's death. The nurse will secure the post to make sure it doesn't wiggle or move.
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A nurse is caring for a client with intestinal stenosis who has been prescribed psyllium. During the course of the treatment, the client shows the signs of colon obstruction
What intervention should the nurse perform to avoid the occurrence of colon obstruction? A) Administer the drug with adequate fluid intake. B) Give mineral oil to the client after meals. C) Administer the drug after chilling it. D) Provide foods high in bulk or roughage.
Nurses who are comfortable in their religious beliefs are more likely to understand the importance of good spiritual health in patients because they know
1. Religious beliefs determine patients' concepts of good health practices. 2. Patients who practice religion do not suffer spiritual distress. 3. Patients with strong belief systems do not suffer long-term illnesses. 4. Religious beliefs give individuals hope and motivate them toward a better outcome.
Which should the nurse teach parents to expect to observe in the prodromal phase of rubeola?
a. Macular rash on the face b. Koplik's spots c. Petechiae on the soft palate d. Crops of vesicles on the trunk
Incest is most likely to occur between:
a. family members in a household of poverty b. parents and children c. high achievers d. siblings