When caring for a patient in traction, you should
A. position weights on the floor.
B. remove the strap daily to check pressure areas.
C. cover the patient with blankets for warmth.
D. make sure the straps are straight.
Answer: D
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A patient with Crohn's disease is experiencing diarrhea during an exacerbation of symptoms. What medication will the nurse most likely administer?
A) Bismuth salts (Pepto-Bismol) B) Ciprofloxacin (Cipro) C) Cholestyramine (Questran) D) Octreotide acetate (Sandostatin)
A visual problem of the older client is presbyopia, which is
A) increased tear formation causing blurred vision. B) stiffness of the ciliary muscle contributing to accommodation problems. C) an inability to shift focus from far to near. D) a change in the pupil; it becomes small and fixed.
The nurse has admitted a patient to the ED following a fall from a first-floor hotel balcony. The patient is 22 years old and smells of alcohol. The patient begins to vomit in the ED. Which of the following interventions is most appropriate?
a. Insert an oral airway to prevent aspiration and to protect the airway. b. Offer the patient an emesis basin so that you can measure the amount of emesis. c. Prepare to suction the oropharynx while maintaining cervical spine immobilization. d. Send a specimen of the emesis to the laboratory for analysis of blood alcohol content.
Paramedics have brought an intubated patient to the RD following a head injury due to acceleration-deceleration motor vehicle accident. Increased ICP is suspected. Appropriate nursing interventions would include which of the following?
A) Keep the head of the bed (HOB) flat at all times. B) Teach the patient to perform the Valsalva maneuver. C) Administer benzodiazepines on a PRN basis. D) Perform endotracheal suctioning every hour.