A deliveryman comes to the emergency department with dog bites on his legs. He states that the dog ran away after the attack and could not be identified. After treatment of the bites, the patient should immediately:
a. notify Animal Control.
b. receive immune globulin for passive im-munity.
c. receive the first of five rabies vaccination injections to be continued over the next several weeks.
d. go home and elevate his legs.
B
The administration of immune globulin will build up his immediate defenses. As a deliveryman, he would be considered to be in a high-risk group for animal bites and should be advised to ac-quire the vaccine, but the vaccine will not be of any use to him at this point.
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A 15-year-old boy with a complex psychosocial history is being treated for inhalant abuse. When providing health education to this boy, the nurse should cite which of the following risks associated with inhalant abuse?
A) Hyperactivity B) Psychological dependence C) Physiological dependence D) Organ damage
The nurse is teaching the student nurse the physiology involved in pain transmission. Which of the following statements accurately describes a physiologic event in the nervous system related to pain transmission? Select all answers that apply
A) Thermal stimulation may involve the release of mediators, such as histamine, prostaglandins, leukotrienes, or bradykinin. B) When nociceptors are activated by noxious stimuli, the stimuli are converted to electrical impulses that are relayed to the spinal cord and brain. C) Myelinated A-delta fibers are large fibers that conduct the impulse at very rapid rates; unmyelinated small C fibers transmit the impulse slowly. D) Once in the dorsal horn of the spinal cord, the nerve fibers divide and then cross to the opposite side and rise upward to the thalamus. E) The point at which the person first feels the highest intensity of the painful stimulus is termed the pain threshold. F) Peripheral sensitization allows the nerve fibers to react to a stimulus that is of lower intensity than would be needed to cause pain.
After reviewing a client's most recent electrocardiogram, the nurse suspects the client is experiencing hyperkalemia. Which of the following did the nurse assess on the client's rhythm strip? (Select all that apply.)
1. Tall peaked T-waves 2. Short QRS complex 3. Dysrhythmias 4. Wide QRS complex 5. Bradycardia 6. Tachycardia
The advantages of team nursing include: (Select all that apply)
1. Fosters team cooperation 2. Allows for ancillary staff autonomy 3. Strengthens the RN-client relationship 4. Facilitates decision making at the clinical level 5. Encourages collaboration between team members 6. Provides management experience for team leaders