A nurse is assessing victims in an emergency situation. What will the nurse assess for first?
a. Hemorrhage
b. Fractures
c. Mobility
d. Abnormal breathing
ANS: D
A life-threatening situation of the highest priority is arrested or abnormal breathing.
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A nursing instructor is teaching about the typical grieving behaviors of Chinese Americans. Which student statement would indicate that more instruction is necessary?
1. "In this culture, the color red is associated with death and is considered bad luck." 2. "In this culture, there is an innate fear of death." 3. "In this culture, emotions are not expressed openly." 4. "In this culture, death and bereavement are centered on ancestor worship."
A 55-year-old female patient asks a nurse about calcium supplements. The nurse learns that the patient consumes two servings of dairy products each day. The patient's serum calcium level is 9.5 mg/dL. The serum vitamin D level is 18 ng/mL
The nurse will recommend adding ____ daily and ____ IU of vitamin D3 each day. a. 1200 mg of calcium once; 10,000 b. 1500 mg of calcium twice; 1000 c. 600 mg of calcium once; 10,000 d. 600 mg of calcium twice; 2000
The nurse reviews an ECG tracing and determines that it is not a high-quality tracing. Which factors can negatively influence an ECG tracing? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Patient movement during recording 2. Dense chest hair 3. Incorrect positioning of leads 4. Presence of an IV infusion pump 5. Electrodes in firm contact with the skin
A patient is given a nursing diagnosis of activity intolerance related to pain and claudication with ambulation. What would be an appropriate intervention for this patient?
A) Assess for pain, pulses, pallor, paresthesia, and paralysis B) Assess dorsalis pedis and posterior tibial pulse bilaterally C) Gradually increase activity D) Assess with a Doppler and notify the physician