A patient presents to the emergency department after a motor vehicle accident. The patient sustained blunt trauma to the abdomen and complains of pain in the upper left quadrant that ra-diates to the left shoulder
Which organ is most likely injured? a. Gallbladder
b. Liver
c. Spleen
d. Stomach
C
Spleen laceration or rupture is always suspected with abdominal injury because of the spleen's anatomic location. The patient's presenting symptoms confirm this suspicion.
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A registered nurse is caring for a postoperative patient who is experiencing respiratory distress after the administration of pain medication. The nurse called the patient's primary health care provider immediately
The information regarding the patient was conveyed using the SBAR format. Which information did the nurse convey to the primary health care provider? a. Situation, background, assessment, recommendation b. STAT, background, assessment, requirement c. Status, background, analysis, recommendation d. Setting, belief, assessment, requirement
The nurse admits a patient with a high potassium level. The nurse recognizes this activates the body's sodium–potassium exchange leading to which physical symptom?
A) Dehydration B) Water retention C) Fatigue D) Dizziness
The nurse is obtaining the services of a translator to assist with the assessment of a non-English speaking client. What should the nurse take into consideration when using a translator? (Select all that apply.)
1. Look at the client when talking. 2. Use a family member to reduce the cost. 3. Ask questions in groups to reduce repetition. 4. Have the translator ask the client questions from a printed paper. 5. Arrange the room so the client can see the nurse and translator.
Which sign or symptom of airway compromise may require insertion of an oral airway?
a. Ability of the patient to speak b. Ability of the patient to cough forcefully c. Presence of wheezing between coughs d. Presence of gurgling with the respiratory cycle