A child is in the emergency department following a car crash. Which finding noted by the nurse warrants immediate intervention?
A.
Complains "I hurt all over."
B.
Grey-Turner's sign
C.
Increased WBCs
D.
Tachycardia
ANS: B
Grey-Turner's sign is bruising in the flank area and can indicate a renal injury. The other signs would be expected after a traumatic event.
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The female client's urinalysis shows all the following results. Which does the nurse document as abnormal?
a. pH 5.6 b. Ketone bodies present c. Specific gravity of 1.030 d. Two white blood cells per high-power field
A nursing instructor is discussing therapeutic versus nontherapeutic responses with nursing students. Which of the following would the nurse identify as nontherapeutic?
A) Clarification B) Distraction C) Summarizing D) Focusing
Which of these nursing actions for a 64-year-old patient with Guillain-Barré syndrome is most appropriate for the nurse to delegate to an experienced unlicensed assistive personnel (UAP)?
a. Nasogastric tube feeding q4hr b. Artificial tear administration q2hr c. Assessment for bladder distention q2hr d. Passive range of motion to extremities q4hr
Capitation and managed care programs are likely to strongly influence health care delivery because they:
a. provide intense services directed toward keeping clients in the community b. reduce the incidence of mental disorders within certain populations c. are prospective payment systems that contain rising costs of health care d. offer multiple providers for clients with mental illnesses