An adolescent is brought to the emergency department after an automobile accident. When the nurse approaches the adolescent, he becomes combative and curses the nurse. The nurse notes that his speech is slurred and his gait is ataxic
The nurse suspects that the adolescent has used: a. Alcohol
b. Cocaine
c. Amphetamines
d. PCP
A
Behavioral signs of alcohol ingestion include slurred speech, lack of inhibition, and lack of coordination.
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A 30-year-old man with a BMI of 59 has recently been diagnosed with type 2 diabetes mellitus. In light of the man's lack of success with weight loss programs in the past, his care provider has prescribed sibutramine (Meridia)
What instructions should the nurse consequently provide to this patient? A) "Take this drug once each day on an empty stomach." B) "It's best to take a dose of sibutramine after each meal." C) "This drug will help you to lose weight without having to exercise or change your normal diet." D) "Take a dose when you feel like you are tempted to binge on food."
Prior to discharge you determine whether a new mother knows the aseptic method for infant formula and equipment sterilization. Which comment by the mother would indicate that further clarification is needed? (Select all that apply.)
a. "I should wash the equipment in soap and water and place it in a large pan or sterilizer." b. "I should boil the equipment for at least 15 minutes." c. "I can use cold tap water for mixing the formula." d. "When I remove the equipment, I should use tongs." e. " I should mix the formula in the sterilized pitcher." f. "Once I have prepared the formula I should pour it into the bottles, apply lids, and store it in the refrigerator."
The nurse is obtaining the health history of a client scheduled for magnetic resonance imaging (MRI). Which condition requires the nurse to cancel the MRI?
a. Amputated leg b. Internal insulin pump c. Intrauterine device d. Atrioventricular (AV) graft
The nurse would assess that granulation tissue is developing in a wound when noting which characteristics? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Beefy red color 2. Blue-gray tinge to the wound bed 3. Small, round nodules in the wound bed 4. Pearly-appearing wound margins 5. Moist tissue