The nurse admits a client who was an unbelted passenger in a motor vehicle accident reported to have caused the car to roll several times. A priority of care for this client is:
1. Protection of the cervical spine.
2. Administration of oxygen.
3. Notification of family members.
4. Assessment of neurological function.
1
Rationale: The priority intervention is to protect the cervical spine until diagnostic testing can be performed to rule out any spinal damage. Other actions will be lower-priority.
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Which of the following would present the greatest risk to develop bipolar disorder?
A. Use of stimulant medications as a child B. History of anxiety disorder as a teenager C. First-degree relative with the bipolar disorder diagnosis D. History of conduct disorder
A family came in to discuss a problem with one of their children. Which of the following family behaviors would be concerning to the nurse?
a. Each family member made supportive comments about each other. b. Every Sunday the family attends religious services together. c. Family members made humorous comments about their life together. d. The family seemed to rather quickly determine priorities for action. e. The family wanted the nurse to decide what they should do.
During acute assessment of a newborn, what questions should a nurse ask before providing care at the mother's bedside? (Select all that apply.)
A) Does the newborn have good muscle tone? B) Is the newborn term gestation (37 weeks or greater)? C) Is the newborn pink in color? D) Is the amniotic fluid clear? E) Is the newborn breathing or crying?
During an in-service on viruses, the nurse describes the components of a viral envelope, including:
Standard Text: Select all that apply. 1. phospholipids. 2. glycoprotein. 3. protein "spikes." 4. glucose. 5. carbohydrate.