The RN has just been stuck with a syringe while dropping it into a sharps container that was too full in a client's room. Which of the following steps should be taken first for a puncture?

1. Complete an injury report.
2. Encourage bleeding.
3. Initiate first aid.
4. Wash the area with soap and water.


Correct Answer: 2
Rationale 1: This is not the first step. It can be done later.
Rationale 2: Encouraging bleeding is the first step.
Rationale 3: Initiating first aid is not the first step.
Rationale 4: Washing the area with soap and water is not the first step.

Nursing

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The nurse received report from a previous shift. One of her clients was reported to have a history of basilar skull fracture with otorrhea. What assessment finding does the nurse anticipate?

A) The client has cerebral spinal fluid (CSF) leaking from the ear. B) The client has ecchymosis in the periorbital region. C) The client has an elevated temperature. D) The client has serous drainage from the nose.

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The nurse would examine a child with low-set ears for anomalies in which organ that formed at the same time as the ears in embryonic development?

a. heart c. liver b. kidneys d. lungs

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Patients should be instructed regarding the rapid onset of zolpidem (Ambien) because:

1. Zolpidem should be taken just before going to bed. 2. Zolpidem may cause dry mouth and constipation. 3. Patients may need to double the dose for effectiveness. 4. They should stop drinking alcohol at least 30 minutes before taking zolpidem.

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A patient with chronic pain tells the nurse that as soon as she returns home, she is going to be expected to "pick up where she left off," which is causing her a great deal of stress

Which of the following would be the best instruction for this patient? 1. Learn how to prioritize tasks and modify role demands. 2. Plan to take a vacation away from home to recuperate. 3. Return to home and spend as much time as possible resting in bed. 4. Take pain medication around the clock to control the pain while resuming her normal activities of daily living.

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