A patient comes into the emergency department with complaints of headache, lethargy, and vomiting
The patient tells the nurse that these symptoms have been getting worse since hitting his head on a surf board while on vacation several weeks prior. Which of the following should the nurse suspect is occurring in this patient? 1. subacute subdural hematoma
2. chronic subdural hematoma
3. acute subdural hematoma
4. epidural hematoma
2
Rationale: There are three categories of subdural hematoma, based on time of onset of symptoms. An acute subdural hematoma occurs less than 48 hours from injury; a subacute occurs 48 hours to 2 weeks from injury, and chronic hematoma develops greater than 2 weeks from injury. Since the patient had a head injury a few weeks prior, the nurse should suspect a chronic subdural hematoma. With an epidural hematoma, there is a brief loss of consciousness immediately following the injury, followed by an episode of being alert and oriented, and then a loss of consciousness again. The patient did not describe a loss of consciousness.
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A) Writing down and repeating the information as the nurse teaches B) Having the client wait to ask questions until after the presentation C) Assigning another nurse to provide the teaching for the client D) Asking the client their preferred learning strategies
The nurse has been assigned the role of triage nurse after a weather-related disaster. What is the priority action of the nurse?
a. Call in additional staff to assist with care of the victims. b. Splint fractures and clean and dress lace-rations. c. Perform a rapid assessment of clients to determine priority of care. d. Provide psychological support to staff and family members.
Which of the following nursing actions requires the use of sterile technique? Select all that apply
1. Injecting medication into subcutaneous tissue 2. Administering intravenous (IV) medication 3. Inserting a catheter in a hospital setting 4. The delivery of babies 5. Caring for a burn victim
The community nurse is working with poor women who are formula-feeding their infants. Which statement indicates that the nurse's education session was effective?
1. "I should only use soy-based formula for the first year." 2. "I follow the instructions for mixing the powdered formula exactly." 3. "I can reuse one bottle for several feedings." 4. "The mixed formula can be left on the counter for a day."