The nurse has adequately managed a patient's airway, breathing, and circulation. What is the next nursing action?
1. Assess level of consciousness.
2. Administer prophylactic tetanus toxoid as prescribed.
3. Auscultate heart sounds.
4. Assess the chest for paradoxical movements.
Answer: 1
You might also like to view...
The nurse is providing care to a client in the emergency department who received a breathing treatment earlier
The nurse is now preparing the client for a procedure and notes that the client is breathing in a shallow manner and the client's hands are trembling. Which action will help decrease the client's level of anxiety? 1. The nurse should explain all procedures in a calm and reassuring voice. 2. Request the immediate presence of the healthcare provider. 3. Provide oxygen for the client. 4. Postpone the procedure.
The development of intellectual capacities through the time of childhood from birth to around age 15 years refers to:
a. Kohlberg's theory of moral development. b. Piaget's stages of cognitive development. c. Lao Tsu's theory of development. d. Fowler's stages of faith development.
An infant is born with spina bifida. She may have:
A) alterations in urinary elimination. B) increased urine production. C) renal failure. D) excessive loss of sodium in the urine.
A nurse is helping a person reduce stress-disinhibition related to poor dietary choices. Which of the following nursing interventions would be most appropriate?
a. Work with the person to develop a plan to slowly replace high-fat, high-calorie foods with more healthy choices. b. Encourage the person to eliminate all high-calorie, high-fat foods from the diet as quickly as possible. c. Give the person a standard list of low-fat, low-calorie foods. d. Provide the person a copy of the Food Guide Pyramid.