The nurse is assessing a client with posttraumatic stress disorder (PTSD). Which of the following would the nurse categorize as reflecting intrusion? Select all that apply
A) Irritability
B) Difficulty sleeping
C) Flashbacks
D) Short-term memory deficits
E) Dissociation
A, D, E
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Which patient should the nurse prioritize as needing emergent treatment, assuming no other injuries are present except the ones outlined below?
A) A patient with a blunt chest trauma with some difficulty breathing B) A patient with a sore neck who was immobilized in the field on a backboard with a cervical collar C) A patient with a possible fractured tibia with adequate pedal pulses D) A patient with an acute onset of confusion
The diabetic patient who had blood drawn for an HbA1c level says, "I don't know why they want to look at my hemoglobin." The most helpful reply by the nurse would be:
a. "The test is to evaluate your present level of blood sugar." b. "The HbA1c provides information relative to blood sugar levels from the past 2 to 3 months." c. "Hemoglobin levels and blood sugar levels are closely related." d. "The HbA1c tells if you have type 1 or type 2 diabetes."
The nurse receives an order from the physician to obtain the client's signature on an informed consent that has been completed and placed on the chart
The nurse asks the client and family if they have any questions about the procedure, and they say "no." The client signs the consent, and the nurse signs on the witness line, knowing that the signature implies: A) the client and family fully understand what is to be done during the procedure. B) the client and family have been fully informed about the procedure. C) the family and client are fully informed of alternative options to the procedure, potential complications, what is to done, and who will perform the procedure. D) the nurse witnessed that it was signed by the client.
The nurse is working as a volunteer on a health care team serving in a clinic in a village in a third world country. Several children come to the clinic in a mild or moderate state of dehydration
Which of the following solutions or liquids would be best for rehydrating the dehydrated children? a. Gatorade c. Pedialyte b. fruit juices d. athletic drinks