If a trauma patient arrives in the emergency department (ED) via ambulance, the priority nursing assessment would include:
1. Airway management with cervical spine immobilization.
2. Insertion of two large-bore IV catheters.
3. Insertion of Foley catheter.
4. Assessing level of consciousness and ability to follow commands.
Airway management with cervical spine immobilization.
Rationale: Airway is always priority, with consideration of maintaining the cervical spine in a midline position. First, the airway is assessed for patency; it may be obstructed by blood, displacement of tissue, etc.. The other interventions are important as well, but unless tissues are being oxygenated, death will occur within minutes.
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A 20-year-old college student who transferred from a community college in her hometown to a
university 100 miles from home had been emotionally close to her mother and sister. When she transferred she broke up with her boyfriend of 2 years. She was slow to make new friends at the university. Gradually, she began to eat whenever she felt blue. She consumed large quantities of food nightly and then induced vomiting. The binge-purge cycles continued until they began to interfere with her schoolwork. She sought help from the university health clinic. During the initial interview, what other issue should the nurse address in addition to the binge-purge syndrome? a. Study habits b. School activities c. Losses d. Student aid
A learned pattern of behavior and feelings in which a person always tries to meet the needs of others, demand love from others, and manipulate and control the lives of others is known as:
a. addiction c. confabulation b. behavioral tolerance d. codependency
Complete the following equation:
protein + oxygen = ______ + water + carbon dioxide. 1. Carbohydrate 2. Kilocalories 3. Homeostasis 4. Heat energy
When rescuing an adult patient with suspected injuries to the head, neck, or spine, use the jaw-thrust technique to open the airway and avoid further injury
True False