Several individuals arrive to the emergency department experiencing manifestations that cannot be immediately determined. Which action is a priority when caring for these individuals?
1. Contact the Poison Control Center
2. Institute standard, airborne, and contact precautions
3. Contact the organization's disaster preparedness committee
4. Notify the Centers for Disease Control and Prevention (CDC)
2
Rationale 1: The Poison Control Center will not be able to assist in the identification of the victims' exposure.
Rationale 2: If features of a disease or exposure cannot be immediately determined, institute Standard Precautions plus airborne and contact precautions until specific agent is identified.
Rationale 3: The disaster preparedness committee should be aware of the victims however they can be notified later.
Rationale 4: The Centers for Disease Control and Prevention (CDC) will not be able to assist in the identification of the victims' exposure.
Global Rationale: If features of a disease or exposure cannot be immediately determined, institute Standard Precautions plus airborne and contact precautions until specific agent is identified. The Poison Control Center or the CDC will not be able to assist in the identification of the victims' exposure. The disaster preparedness committee should be aware of the victims however they can be notified later.
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The nurse should educate the client to avoid which of the following nonprescription medications without permission from the physician, as they can interfere with the action of cardiotonic drugs? Select all that apply
A) Antacids B) Antidiarrheals C) Topical arthritis treatments D) Artificial tear products E) Allergy products
The nurse is performing a focused interview with an older adult client. Which of the following statements indicate the client has an increased risk of developing depression? Standard Text: Select all that apply
1. "I've been so lonely since my wife, Maggie, passed away 2 months ago.". 2. "My mother had a history of depression.". 3. "I was diagnosed with chronic bronchitis 4 years ago.". 4. "My son visits at least once a week and takes care of my financial stuff.". 5. "I visit my sister every Monday and she makes me dinner.".
The parents of a 14-year-old girl are concerned that their adolescent spends too much time looking in the mirror. Which statement is the most appropriate for the nurse to make?
a. "Your teenager needs clearer and stricter limits about her behavior.". b. "Your teenager needs more responsibility at home.". c. "During adolescence, this behavior is not unusual.". d. "The behavior is abnormal and needs further investigation.".
A nurse checks the residual volume from a client's nasogastric tube feeding before administering an intermittent tube feeding and finds 35 mL of gastric contents. What should the nurse do before administering the prescribed 100 mL of formula to the client?
A. Pour the residual volume into the nasogastric tube through a syringe with the plunger removed B. Discard the residual volume properly and record it as output on the client's fluid balance record C. Dilute the residual volume with water and inject it into the nasogastric tube, applying pressure on the plunger D. Mix the residual volume with the formula and pour it into the nasogastric tube, using a syringe without a plunger