A client is brought to the emergency room with an abrupt onset of vomiting, abdominal cramping, and diarrhea 2 hours after eating food at a picnic. Which of the following infec-tious agents would the nurse suspect as the probable cause?
A. Clostridium botulinum
B. Staphylococcus
C. Giardia lamblia
D. Salmonella
B
Staphylococcus can be found in meat and dairy products and can be transmitted to people. Food poisoning occurs, especially if foods are left unrefrigerated over a period of time.
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A nurse cares for a client who has advanced cardiac disease and states, "I am having trouble sleeping at night." How should the nurse respond?
a. "I will consult the provider to prescribe a sleep study to determine the problem." b. "You become hypoxic while sleeping; oxygen therapy via nasal cannula will help." c. "A continuous positive airway pressure, or CPAP, breathing mask will help you breathe at night." d. "Use pillows to elevate your head and chest while you are sleeping."
As part of a written standard protocol for the unit, a nurse adds that irrigation of an occluded cannula is not recommended. What is the rationale against performing this procedure?
a. It may damage a venous valve. b. It may introduce an air embolus into the line. c. It may cause the patient pain. d. It may force blood clots into the main bloodstream.
Sammy is about to undergo a retrograde pyelography. He is waiting for the procedure group to come and get him and asks you for some reassurance. He wants an explanation of the procedure once more and what it will show
a. What is this procedure and how is it done? b. Is dye used? c. What will it show? d. What will the client experience in the postprocedure time?
The nurse stops to assist an adolescent who has experienced severe trauma when hit by a motorcycle. The emergency medical system (EMS) has been activated. The first person who provided assistance applied a tourniquet to the child's leg
because of arterial bleeding. What should the nurse do related to the tourniquet? a. Loosen the tourniquet. b. Leave the tourniquet in place. c. Remove the tourniquet and apply direct pressure if bleeding is still present. d. Remove the tourniquet every 5 minutes, leaving it off for 30 seconds each time.