A wing of a hospital is on fire. Which actions by the nurse promote safe evacuation of clients? (Select all that apply.)
a. Direct ambulatory clients on where to go to be safe.
b. Use ambulatory clients to help push clients in wheelchairs.
c. Use oxygen tanks for all clients who are on oxygen.
d. Manually ventilate clients who are on ventilators.
e. Move bedridden clients in their beds if possible.
A, B, D, E
Ambulatory clients can evacuate themselves with direction or could be used to help push wheel-chair-bound clients. Clients on ventilators need to be removed from the ventilator and "bagged" until evacuated, then they can be put back on the ventilator if one is available. Bedridden clients should be moved in their beds or on stretchers, or carried if needed. Any client who can breathe without oxygen should have it removed for the evacuation because oxygen is an accelerant.
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The nurse knows that obtaining a smoking cessation contract from a client will:
1. Help clients adapt through change. 2. Increase positive reinforcement through adaptation. 3. Facilitate change through contracts. 4. Formulate well-thought-out plans.
The nurse assesses an alcoholic patient carefully for signs of withdrawal. How soon after cessation of alcohol intake do withdrawal symptoms usually appear?
a. 3 hours b. 4 hours c. 5 hours d. 6 hours
Which statement regarding pressures that drive the health care delivery system today is not accurate?
1. The current and projected nursing shortage may be eliminated by instituting technology enhancements in the acute care setting. 2. Evidence-based practice is supported with technology that enables the health care provider to utilize up-to-date research findings. 3. Medication errors and adverse events may be reduced with the implementation of computerized physician order entry (CPOE). 4. Managed care may utilize disease management to identify clients with chronic conditions, and treat them effectively to minimize complications and cost.
A pregnant patient would like to know a good food source of calcium other than dairy products. Your best answer is:
a. Legumes c. Lean meat b. Yellow vegetables d. Whole grains