An emergency department (ED) nurse receives a telephone call from emergency medical services and is told that a client who has sustained severe burns of the face and upper arms is being transported to the ED. Which action does the nurse, preparing for the arrival of the client, plan to implement first?
A. Inserting a Foley catheter
B. Initiating an intravenous (IV) line
C. Cleansing the burn wound
D. Administering 100% humidified oxygen
Ans: D. Administering 100% humidified oxygen
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An emergency room nurse is caring for a trauma client. Which interventions should the nurse perform during the primary survey? (Select all that apply.)
a. Foley catheterization b. Needle decompression c. Initiating IV fluids d. Splinting open fractures e. Endotracheal intubation f. Removing wet clothing g. Laceration repair
A nurse is giving a client instructions for showering with special antimicrobial soap the night before surgery. What instruction is most appropriate?
a. "After you wash the surgical site, shave that area with your own razor." b. "Be sure to wash the area where you will have surgery very thoroughly." c. "Use a washcloth to wash the surgical site; do not take a full shower or bath." d. "Wash the surgical site first, then shampoo and wash the rest of your body."
An older adult resident of a long-term care nursing facility frequently attempts to get out of bed and is at risk of sustaining an injury. The nurse's planned intervention to minimize the patient's risk for injury is guided by
a. the patient's right to self-determination and to be free to get out of bed. b. an understanding that nondrug interven-tions must be tried before medications. c. the knowledge that application of a vest restraint requires a physician's order. d. the patient's cognitive ability to under-stand and follow directions.
Which of the following is a common adverse effect that an elderly patient may experience while taking zolpidem (Ambien)?
A. Slurred speech and drowsiness B. Convulsions C. Confusion and memory disturbances D. None of the above