A 19-year-old female is brought to the emergency department with a knife handle protruding from the abdomen. During the initial assessment of the patient, the nurse should

a. remove the knife and assess the wound.
b. determine the presence of Rovsing sign.
c. check for circulation and tissue perfusion.
d. insert a urinary catheter and assess for hematuria.


c. check for circulation and tissue perfusion.

Nursing

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Cold therapy for a client is usually indicated when:

a. there is no other way to provide pain relief b. vasoconstriction and increased blood viscosity are desired c. heat therapy is ineffective d. there are multiple open areas prone to infection

Nursing

The recommended procedure for palpating the testicle is to

a. firmly palpate using the entire palmar surface of one hand. b. gently palpate using the thumb and first two fingers of one hand. c. firmly palpate using the first two fingers of each hand. d. gently palpate using the fingers of both hands.

Nursing

The staff educator is a cardiopulmonary resuscitation (CPR) instructor. He is presenting a health care provider CPR course and reviews the ABCDs of basic CPR. What do the ABCDs of basic CPR refer to?

A) Airway, breathing, cardioversion, and diuretics B) Assessment, balloon pump, circulation, and drugs C) Adrenalin, Bumex, Cardiazem, and Dobutrex D) Airway, breathing, circulation, and defibrillation

Nursing

In feeding the child with hydrocephalus, the nurse would include in the plan of care to: (Select all that apply.)

a. Feed the child in a calm, unhurried manner b. Dim the lights in the room to reduce stimulation c. Give firm support to the head and neck d. Burp the baby often e. Feed rapidly to prevent swallowing air

Nursing