A child is brought to the emergency department with burns on the face and chest. What is the nurse's first priority?
a. Assess respiratory status.
b. Administer pain medication.
c. Remove clothing.
d. Insert a Foley catheter.
ANS: A
Airway assessment and establishing an airway are the initial priorities.
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During a health history, the patient describes health restoration activities that are synonymous with CULTURALCARE. Which activity would the patient practice to restore health?
A. Use herbal preparations. B. Complete recommended diagnostic tests. C. Agree to radical treatments. D. Participate in human experimentation.
Which assessment question would be least likely to elicit information relevant to suicidality?
A) "Have you had any thoughts about harming yourself?" B) "How many times have you threatened to kill yourself in the past but didn't act on it?" C) "Do you have a particular plan in mind?" D) "Do you have access to the means to carry out the plan?"
The factors that influence growth and development are:
a. Hereditary traits b. Race c. Nutritional status d. Birth order e. Environment
An 11-year-old boy in middle school is currently experiencing sleep-related fatigue during clas-ses. Which of the following is the most appropriate response by the school nurse when counseling the child's parents regarding this assessment?
1. "What are the child's usual sleep patterns?" 2. "Establish bedtimes for the child, and withhold his allowance whenever those times are not adhered to." 3. "We need to explore other health-related problems, because sleep problems are not likely the cause of his fatigue." 4. "The bulbar synchronizing region of the child's central nervous system is causing these insomniac problems."