A teenaged boy jumped from a two-story building and landed on his feet, injuring his spine, and is now in the ICU. The nurse recognizes his injury as which of the following?
A) Rotational injury
B) Axial loading
C) Hyperflexion
D) Hyperextension
A
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The nurse is planning postoperative care for an infant after a cleft lip repair. Which intervention should the nurse include in this infant's plan of care?
1. Suctioning with a tonsil tip (Yankauer) device 2. Using a pacifier to reduce straining the suture line with crying 3. Supine positioning 4. Frequent breast or bottle feeding
A cab driver, stuck in traffic, becomes lightheaded, tremulous, diaphoretic, tachycardic and dyspneic. A workup in an emergency department reveals no pathology
Which medical diagnosis should a nurse suspect, and what nursing diagnosis should be the nurse's first priority? 1. Generalized anxiety disorder and a nursing diagnosis of fear 2. Altered sensory perception and a nursing diagnosis of panic disorder 3. Pain disorder and a nursing diagnosis of altered role performance 4. Panic disorder and a nursing diagnosis of anxiety
Which description of a stool is characteristic of intussusception?
a. Ribbon-like stools b. Hard stools positive for guaiac c. "Currant jelly" stools d. Loose, foul-smelling stools
A nurse observes that an older client is laughing forcefully when describing the strain of caring for the spouse, who has Alzheimer's disease
The client states that neither one of them goes to church or participates in any social events any longer. Other than caring for the person with Alz-heimer's disease, the spouse spends much free time sleeping. The nurse would need to assess this client more for (Select all that apply) a. changes in appetite. b. decreased ability to concentrate. c. excessive spending sprees. d. feeling guilt or hopelessness. e. suicidal thoughts.