A patient arrives at the ICU with symptoms of radiation exposure. While in the ICU, he begins gasping for air and clutching his throat with his hand. What intervention should take priority at this point?
A) Perform CPR on the patient to restore normal respiratory function.
B) Evaluate the degree of radiation exposure in the patient using a Geiger counter.
C) Undress the patient and have him shower and wash with soap to decontaminate himself.
D) Administer potassium iodide.
A
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A neighbor asks the nurse's opinion about an advertisement that states that a particular soap will kill skin bacteria that cause body odor. What is the best rationale for the nurse's response?
A) All antimicrobial soaps have similar bactericidal actions. B) The choice of soap brands is a personal decision. C) Body odor comes primarily from the apocrine sweat glands. D) The manufacturer's information is regulated by federal law.
A 78-year-old patient is getting up for the first walk postoperatively. To decrease the potential for orthostatic hypotension, the nurse should plan to have the patient:
A) Sit in a chair for 10 minutes prior to ambulating. B) Encourage the patient to drink plenty of fluids to increase circulating blood volume. C) Stand upright for 2 to 3 minutes prior to ambulating. D) Sit upright on the side of the bed for 15 minutes prior to ambulating.
The school nurse is counseling children with specific learning disabilities. Which of the following is a nursing consideration when caring for these children?
A) Set higher goals than they are considered to achieve. B) Create a stimulating environment for the child. C) Use positive reinforcement and patience when teaching the child. D) Do not adjust healthcare teaching for the child.
The wife of an alcoholic tells the nurse, "My husband only drinks on the weekends to relax. He has a very stressful job." The nurse recognizes that the patient's wife is using which defense mechanism?
a. Repression b. Denial c. Rationalization d. Identification