The school nurse is walking through the lunchroom when one of the children says she started to feel strange after trading lunches with a friend. Which assessment would be most important?
A) Asking if she has a rash anywhere
B) Checking if she has any nausea
C) Determining if her throat itches
D) Asking if she has abdominal pain
Ans: C
Asking if the child's throat itches is most important because this aids in determining airway patency, which is always the priority. Asking about a rash, nausea, or abdominal pain can be done after the nurse is certain the child's airway is not jeopardized.
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You are the nurse caring for 82-year-old women in the PACU. The woman begins to awaken and responds to her name but is confused, restless, and agitated. What are you aware of?
A) Postoperative confusion is an indication of an oxygen problem or possibly a stroke during surgery. B) Confusion, restlessness, and agitation are normal postoperative findings and will diminish in time. C) Postoperative confusion is common in the elderly, but it could also indicate a significant blood loss. D) Confusion, restlessness, and agitation indicate inadequate pain management, and analgesics will help.
Any patient presenting with a headache related to head trauma should have which of the following ruled out first?
A) Temporomandibular joint (TMJ) syndrome B) Intracranial hemorrhage C) Migraine D) Neck strain
Which finding by the nurse when assessing a patient with Hashimoto's thyroiditis and a goiter will require the most immediate action?
a. New-onset changes in the patient's voice b. Apical pulse rate at rest 112 beats/minute c. Elevation in the patient's T3 and T4 levels d. Bruit audible bilaterally over the thyroid gland
Prevalence figures are especially helpful for what purposes? Select all that apply
A. Can help evaluate treatments that prolong life. B. Directly measure new illnesses in a population. C. Help assess risks associated with particular illnesses. D. Help determine health care personnel needs. E. Represent new cases of an illness in a population. F. Useful for planning health care services and facilities.