The patient is brought from a construction site to the emergency department with a pipe puncturing his abdomen. The pipe is still in place. The patient is triaged and is scheduled for the operating room

What should the nurse do while waiting for the surgeon?
a. Pull the pipe out in the direction of entry.
b. Push the pipe through to the other side, then out.
c. Leave the pipe in place.
d. None of the above.


C
If a puncture wound occurs from a penetrating object (e.g., knife, toy, building materials), do not remove the object. Removal of the object will cause more rapid blood loss and may damage underlying structures.

Nursing

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Which of the following symptoms are characteristic of Addison's disease?

A) Truncal obesity B) Hypertension C) Muscle weakness D) "Moon" face

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A nurse decides to withhold a medication because it will further lower a patient's respiratory rate. In this case, the nurse is practicing what principle?

a. Responsibility b. Privacy c. Ethics d. Moral behavior

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The patient is scheduled to begin treatment with the disease-modifying antirheumatic drug methotrexate. In order to avoid a life-threatening adverse effect of the drug, the patient should receive a frequent assessment of:

a. Heart rate b. Breath sounds c. Bowel sounds d. Mental status

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Which intervention is appropriate for the community health nurse to advise citizens at risk for the adverse effects of air pollution?

A) It is best to exercise in the early evening hours. B) Exercise indoors when pollutants are especially high outdoors. C) It is important to have access to long-acting relief medication when active outdoors. D) Jogging, instead of walking, is best on high-ozone–level days to reduce the amount of pollution inhaled.

Nursing