The nurse will teach the community-based client that the most common cause of injury related to a house fire is/are:
a. Explosion
b. Falls from second-story windows
c. Thermal damage to skin and body surfaces
d. Smoke inhalation injury
D
Smoke inhalation injury is associated with significant morbidity and mortality. Manifestations might not show up until 24 hours postexposure.
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During an admission assessment of a patient with dementia, the nurse assesses for pain because the patient has recently had several falls. Which of these are appropriate for the nurse to assess in a patient with dementia? Select all that apply
a. Ask the patient, "Do you have pain?" b. Assess the patient's breathing independent of vocalization. c. Note whether the patient is calling out, groaning, or crying. d. Have the patient rate pain on a 1-to-10 scale. e. Observe the patient's body language for pacing and agitation.
When teaching a class about trisomy 21, the instructor would identify this disorder as due to which of the following?
A) Nondisjunction B) X-linked recessive inheritance C) Genomic imprinting D) Autosomal dominant inheritance
The beat of the heart felt at an artery as a wave of blood passes through the artery is the:
a. Pulse b. Pulse deficit c. Pulse rate d. Heartbeat
When assessing a patient receiving a continuous opioid infusion, the nurse immediately notifies the physician when the patient has which of the following findings?
a. a respiratory rate of 10/min with normal deapth b. a sedation level of 4 c. Mild confusion d. Reported constipation