A client is found lying on the ground outside a school. The first action that a nurse should take is to:

A. Check the carotid or brachial pulse
B. Determine if the client is unconscious
C. Position the client on a flat, hard surface
D. Activate the emergency medical system (EMS)


B
B. Step 1
A. Step 3
C. Step 4
D. Step 2

Nursing

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Which term is defined as a vaguely outlined area of edematous tissue situated over the portion of the scalp that presents in a vertex delivery?

a. Hydrocephalus b. Cephalhematoma c. Caput succedaneum d. Subdural hematoma

Nursing

A nurse is performing a cardiac assessment on a client with heart failure. In assessing the client's apical pulse, the nurse notes the pulse to be displaced to the left. What conclusion can be drawn from this assessment?

A. This is a normal finding. B. The heart is hypertrophied. C. The left ventricle is contracted. D. The client is experiencing pulsus alternans.

Nursing

The healthcare provider is preparing to perform a lumbar puncture on a 5-year-old child and requests that the child be placed in a sitting position. How will the nurse assist the child to maintain this position?

A. Tell the child to curl up in a ball and grab onto his feet and hold very still. B. Inform the healthcare provider that the child is too young to do the procedure in a sitting position and that the procedure must be performed with the child lying down. C. Assist the child to curl the body over a pillow and help the child stay in this position by stabilizing the child's neck with one hand and the child's knees with another hand. D. Request another nurse assist so that one nurse can hold the child's neck and head in the curved position and the other nurse can assist the child to hold the knees steady.

Nursing

_____ use/abuse during pregnancy causes vasoconstriction and decreased placental perfusion, resulting in maternal and neonatal complications

a. Alcohol c. Tobacco b. Caffeine d. Chocolate

Nursing