A workplace explosion has injured many workers and has left a 40-year-old male client with full-thickness burns over 65% of his body and massive internal injuries. To what category would this person be triaged?
A) Green
B) Yellow
C) Red
D) Black
D
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A nurse is aware that clear and accurate communication is necessary whenever clients are transferred or referred. Which of the following situations best demonstrates a referral?
A) A client is moved from a subacute hospital unit to the intensive care unit following a hypertensive crisis. B) A client is relocated from the orthopedic ward to a rehabilitation ward after recovery from a knee replacement. C) The nurse arranges for a client with a diabetic foot ulcer to see a podiatrist in community. D) The nurse gives report to the hospital's radiology department before a client is sent down for an x-ray.
A client has a nursing diagnosis of Risk for Impaired Skin Integrity related to prescribed bed rest and decreased sensation and mobility of the lower extremities. What type of nursing diagnosis is this classified as?
A) Actual diagnosis B) Health promotion diagnosis C) Risk diagnosis D) Syndrome diagnosis
A patient states, "This is my fourth miscarriage." A response by the nurse that demonstrates active listening would be
a. "Having another miscarriage must be hard to accept." b. "This is nature's way. You can be glad it happened." c. "How lucky to have lost the baby so early in your pregnancy." d. "I've had two miscarriages, so I know how you must feel."
Which of the following can cause a sudden drop in blood pressure or orthostatic hypotension for a patient being treated with mecamylamine?
A. A temporary stoppage in the delivery of the drug B. A change in body position C. A sudden decrease in dosage of mecamylamine D. A pre-existing condition such as mental depression