An inexperienced nurse who is new to the ICU is examining the eyes of a comatose patient with traumatic brain injury who is on a ventilator. In doing so, she turns the patient's head sharply to one side
After she is finished, she leaves the patient's head turned to the side. A more experienced nurse sees this and cautions the new nurse not to turn the patient's head so sharply or leave it in that position. What is the best rationale for the more experienced nurse's admonition?
A) Compression of the jugular vein leading to increased intracranial pressure
B) Lack of a patent airway
C) Lack of dignity for the patient
D) Cramping of neck muscles
A
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An 85-year-old man has been hospitalized after a fall at home, and his 86-year-old wife is at his bedside. She tells the nurse that she is his primary caregiver. The nurse should assess the caregiver for signs of possible caregiver burnout, such as:
a. Depression. b. Weight gain. c. Hypertension. d. Social phobias.
A nurse preparing to start an IV on a newly admitted patient teaches the patient about the procedure and begins to prepare the site. The nurse should always start by:
A) Leaving one hand ungloved to assess the site B) Preparing the skin with an iodine solution C) Asking the patient if he is allergic to latex or iodine D) Removing excessive hair at the selected site
Which statement by an adolescent with anorexia nervosa would be most typical of an adolescent with this disorder?
A) "I'd like to gain weight but just can't." B) "I feel chubby no matter what I wear." C) "I'd like to grow up to be a model." D) "I'm afraid that someone is poisoning my food."
For children <5 years of age, give 2 mg of medication. Write out the meaning of the symbol
What will be an ideal response?