A patient comes to the emergency department with thermal burns to the left arm and shoulder. Which finding requires immediate attention by the nurse?
1. Complaint of excessive thirst
2. Loss of range of motion to the affected side
3. Pain rating of 8 on a 1 to 10 scale
4. Presence of coughing and hoarseness
4
Rationale 1: Complaint of thirst would be expected due to dehydration.
Rationale 2: Limited range of motion to the affected side is an expected finding.
Rationale 3: A high pain rating is an expected finding.
Rationale 4: Immediate signs of inhalation injury are changes to the mucosal lining of the oropharynx and larynx, including the presence of soot, hoarseness, edema, or blisters. The ABCs of resuscitation should be followed.
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A) The patient will need daily blood testing for the duration of treatment. B) The patient must stop all other drugs 72 hours before starting prednisone. C) The drug should be used at the highest dose the patient can tolerate. D) The drug should be used for as short a time as possible.
A nurse is caring for an older patient in the intensive care unit. The patient has a sudden onset of confusion. What action by the nurse is best?
a. Request a sedative from the provider. b. Attempt to reorient the patient. c. Perform a sepsis screening. d. Review lab work for today.
Which substance assists with the efficient absorption of calcium?
A. Intrinsic factor B. Coenzymes C. Phosphorus D. Vitamin D
The case manager works in a facility that supports a participative leadership style. Which of the following should the nurse recognize as an example of democratic leadership style?
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