The nurse is caring for a client in the recovery area. Which of the following positions should the unconscious client be assuming while in the immediate postanesthesia phase?
A)
Supine with a pillow under the head
B)
Side-lying
C)
Supine
D)
Prone
B
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When assessing a patient experiencing aggression, the nurse applies the general aggression model. Which of the following would the nurse assess as the person factors? Select all that apply
A) Patient's personality traits B) Insult initiating the behavior C) Previous behavior patterns D) Patient's shouting E) Patient's mood F) Patient's gender
A client experiencing hyperventilation, diaphoresis, and difficulty breathing with chest tightness was diagnosed with panic attacks after a negative cardiac workup. What action should the nurse implement first?
1. Perform a 12-lead EKG. 2. Administer oxygen via nasal cannula at 2–4 L/min. 3. Move the client from the waiting area to a private ED cubicle. 4. Prepare to administer lorazepam (Ativan).
The nurse is caring for a preschool child with a cast applied recently for a fractured tibia. Which assessment findings indicate possible compartment syndrome (Select all that apply)?
a. Palpable distal pulse b. Capillary refill to extremity of <3 seconds c. Severe pain not relieved by analgesics d. Tingling of extremity e. Inability to move extremity
During the assessment of a client scheduled for orthopedic surgery, the nurse discovers that the client was previously treated for the disorder. In such a case, what additional data need to be collected?
A) Occurrence of complications or problems during treatment B) Measures taken to minimize postoperative wound infection C) Perception of the client about the previous treatment D) Details of the medical team that handled the previous treatment