The nurse is assessing a patient with an injury to the shoulder and upper arm after being thrown from a horse. What is the best position for this patient's pain assessment?
a) Supine so that the extremity can be elevated
b) Low Fowler's on an exam table for patient comfort
c) Sitting to observe for shoulder droop
d) Slow ambulation to observe for natural arm movement
Answer: c) Sitting to observe for shoulder droop
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The most commonly used site for a venipuncture is the
a. Cephalic Vein b. Basilic Vein c. Dorsal Metacarpal Vein d. Medial Cubital Vein
A patient is prescribed mefloquine (Lariam) for malaria prophylaxis. When should the nurse instruct mefloquine be started?
A) 1 week prior to entering an endemic area B) 1 to 2 days prior to entering an endemic area C) On arrival to an endemic area D) When mosquitoes are present
A patient with a partial-thickness burn injury had Biobrane applied 2 weeks ago. The nurse notices that the Biobrane is separating from the burn wound. What is the appropriate nursing intervention when this separation occurs?
A) Reinforce the Biobrane dressing with another piece of Biobrane. B) Remove the Biobrane dressing and apply a new dressing. C) Trim away the separated Biobrane. D) Notify the physician for further emergency related orders.
For the client discharged receiving IV fluids, the nurse should instruct the client to notify the nurse:
a. if redness, swelling, or pain develops at the IV site. b. at the client's next appointment of any problems related to the infusion. c. if the client experiences swelling of the legs or shortness of breath. d. if the client develops a rash, itching, or hives.