Trendelenburg position is used when the patient goes into shock
Indicate whether the statement is true or false.
F
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A patient has Ménière disease. What statement by the patient indicates a good ability to manage the condition?
a. "Because it's from dehydration, I can in-crease salt in my food." b. "There are no medications, so I just have to learn to live with it." c. "If I get dizzy I should lie down imme-diately and hold my head still." d. "Because I have asthma, I cannot take any medications for Ménière disease."
A nurse is implementing a secondary prevention strategy. Which of the following activities would the nurse most likely implement?
a. Monitoring for prenatal care b. Treatment for anemia c. HIV prevention d. Tetanus immunization
Following significant blunt trauma to the abdomen, a 9-year-old boy presents with diaphoresis and pallor. He is conscious and alert, with a blood pressure of 90/58 mm Hg, a heart rate of 130 beats/min, and a respiratory rate of 28 breaths/min with adequate depth. With an estimated ground transport time of 30 minutes, you should:
A) assist his ventilations to increase tidal volume, cover him with a blanket, establish at least one large-bore IV line, administer a 20-mL/kg normal saline bolus, and transport to a trauma center. B) administer high-flow oxygen, apply spinal precautions if indicated, provide warmth, begin transport, establish vascular access en route, and administer enough crystalloid solution to maintain adequate perfusion. C) apply supplemental oxygen, start two large-bore IV lines with normal saline, administer several crystalloid boluses of 20 mL/kg, apply spinal precautions if indicated, and transport to an appropriate medical facility. D) apply warm blankets, elevate his lower extremities 12 inches, administer high-flow oxygen, insert an IO catheter, administer a 250-mL normal saline bolus, and transport expeditiously to an appropriate trauma center.
The nurse and client have met for six predetermined sessions. The agreed-on goal has been at-tained. Which nursing intervention would be appropriate for the termination phase?
1. Exploring the client's past in depth 2. Confronting changes not completed 3. Helping client summarize accomplishments 4. Identifying new problem areas