In the memory prompt for emergency care, ABCDE, what does the "E" represent?
a. End
b. Execute
c. Expedite
d. Expose
D
The "E" stands for expose. This reminder is to assist the first responder to assess for other injuries that may be hidden under clothing.
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The nurse adds an intervention to the nursing care plan for a patient on neuroleptics to:
a. increase fluid intake to compensate for the side effect of diarrhea. b. encourage snacks to prevent weight loss. c. monitor vital signs for hypertension. d. assess urinary output for evidence of uri-nary retention.
Which information is appropriate to include in the care plan for a family of a child with a tracheostomy?
a. Suction of the tracheostomy every 2 to 4 hours or as needed b. Application of powder around the stoma to decrease irritation c. Suction catheter insertion limited to less than 30 seconds d. Hygiene that includes showers, not baths
The factor that is more predictive of abusive behavior is
1. A perceived or actual crisis 2. Social isolation 3. Previous exposure to violence 4. Marital strain
A father calls the clinic nurse because his 2-year-old child was bitten by a black widow spider. The nurse should advise which to the father?
a. Apply warm compresses. b. Carefully scrape off stinger. c. Take child to emergency department. d. Apply a thin layer of corticosteroid cream.