A 15-year-old girl was taken to a small rural hospital by her mother. The family had been camping, and it had become very cold during the night. The mother had difficulty waking her daughter in the morning, and she was shivering uncontrollably
Which of the following interventions should the admitting nurse do first? A. Take a detailed health history.
B. Wrap the girl in warm blankets.
C. Start an intravenous line.
D. Draw blood to check for drug overdose.
B
The priority treatment for hypothermia is to prevent a further decrease in body temperature. Removing wet clothes, replacing them with dry ones, and wrapping the patient in blankets are key nursing interventions.
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A nurse is caring for an elderly female population. Which of the following considerations should be made? (Select all that apply.)
a. Postmenopausal women are more likely than men to experience hypertension. b. Women use more health services than men. c. Women report lower rates of disability than men. d. Women and men have similar socialization patterns. e. Postmenopausal women are less likely than men to experience depression.
A nurse is caring for a client who is exhibiting signs of an adverse reaction to warfarin (Coumadin). Which statements made by the client would lead the nurse to suspect that this is the case?
1. "I'm from the South, and we have buttermilk almost every meal." 2. "I was suffering so much from hot flashes until my friend told me to try an herb called St. John's wort. I don't seem to have as many symptoms as before." 3. "My husband makes me put garlic in everything! He heard it helps keep our blood pressure normal." 4. "I heard ginkgo was really good for improving memory so I started taking it a couple of months ago." 5. "I was having difficulty sleeping a couple months ago, and my neighbor recommended I try kava. It seems to calm my nerves."
A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse implementing?
a. Educator b. Manager c. Advocate d. Caregiver
During a nurse-client interaction, the nurse will identify cognitive errors when he or she hears which of these statements? (You may select more than one answer.)
1. "I think I will do well on the next exam, because I have studied." 2. "I failed the last exam; I know I will fail the next one." 3. "Whenever I burn the toast in the morning, I know the whole day will be a mess." 4. "I never do anything right." 5. "My parents had a lot of problems, but I have learned from their mistakes."