The nurse has entered the room of a patient and found the patient diaphoretic, panicked, and clutching his chest. What action should the nurse first perform?
A) Provide calm reassurance to the patient.
B) Assist the patient into a semi-Fowler's position.
C) Perform a rapid assessment of the patient.
D) Administer oxygen at 6 LPM by nasal prongs.
C
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A nurse needs to administer an intramuscular injection to a client in the client's dorsogluteal site. Which of the following actions should the nurse perform first to locate the appropriate landmarks and avoid damaging the sciatic nerve?
A) Palpate the sciatic nerve before proceeding with the injection. B) Divide the buttock into four imaginary quadrants. C) Place one hand above the knee and the other at the top of the thigh. D) Palpate the lower edge of the acromion process.
A definition of nursing is essential because it (Select all that apply.)
a. differentiates nursing from other health occupations. b. guides educational preparation and theory development. c. helps state nurse practice acts reflect the changing roles of nurses. d. clarifies the purposes and functions of the nurses. e. informs potential students of exactly what nurses do.
A client who has a severe head injury is placed in a drug-induced coma. The client's husband states, "I do not understand. Why are you putting her into a coma?" How does the nurse re-spond?
a. "These drugs will prevent her from expe-riencing pain when positioning or suc-tioning is required." b. "This medication will help her remain cooperative and calm during the painful treatments." c. "This medication will decrease the activity of her brain so that additional damage does not occur." d. "This medication will prevent her from having a seizure and will reduce the need for monitoring intracranial pressure."
The nurse caring for an elderly client in the hospital notes on assessment that the client has a scald burn on her foot
On questioning the client, the nurse learns that the client scalded her foot when adding hot water from the tap to her bath while she was in the tub. The nurse should do which of the following? 1. Report the incident as suspected elder abuse. 2. Suggest that the temperature of the hot water heater be lowered. 3. Instruct the client that she should not be taking tub baths to prevent this from happening again. 4. Discuss the incident with social services so that arrangements can be made for the client to go to a nursing home on discharge from the hospital.